OrganizationActive
New Balance St.louis
NPI 1285872614 · Customized Equipment (DME) · Saint Louis, MO
New Balance St.louis is a Customized Equipment (DME) organization in Saint Louis, MO (NPI 1285872614).
Provider details
- NPI number
- 1285872614
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Parent organization
- Brown'S Enterprises Inc
- Organization subpart
- Yes
- Authorized official
- Jerry Cook, Certified Pedorthist(314) 872-2929
- License
- B00029005 (MO)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11633 Olive Blvd
Saint Louis, MO 63141-7001
Phone: (314) 872-2929
Fax: (314) 872-2926
Street-level locationGet directions
Mailing address
11633 Olive Blvd
Saint Louis, MO 63141-7001
Registry dates
- Enumerated
- 2009-01-22
- Last updated
- 2010-05-19
Frequently asked questions
- What is New Balance St.louis's NPI number?
- New Balance St.louis's National Provider Identifier (NPI) is 1285872614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Balance St.louis?
- New Balance St.louis is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is New Balance St.louis located?
- New Balance St.louis's practice location on file with NPPES is 11633 Olive Blvd, Saint Louis, MO 63141-7001.
- What is New Balance St.louis's phone number?
- The practice phone number listed in the NPPES registry for New Balance St.louis is (314) 872-2929.
- Who is the authorized official for New Balance St.louis?
- The authorized official listed on New Balance St.louis's NPPES record is Jerry Cook, Certified Pedorthist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Balance St.louis's NPI active?
- Yes — New Balance St.louis's NPI (1285872614) is active in the NPPES registry as of the last update on 2010-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.