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Contact Information

BRENTON PENNICOOKE, MD
10 HOSPITAL DR
DEPT NEUROLOGICAL SURGERY
SAINT PETERS, MO63376-1659
 Phone: 314-362-3577
 Fax: 314-362-2107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRENTON PENNICOOKE · (Male)

NPI # 1093093064
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2011
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020021408
  • MO Medicaid 200085861
Hospital affiliation(s)
  • BARNES JEWISH HOSPITAL - (Acute Care)
    ONE BARNES-JEWISH HOSPITAL PLAZA
    SAINT LOUIS, MO 63110
  • BARNES-JEWISH WEST COUNTY HOSPITAL - (Acute Care)
    12634 OLIVE BOULEVARD
    CREVE COEUR, MO 63141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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