OrganizationActive
Brainworks Pediatric Group LLC
NPI 1306248794 · Speech-Language Pathologist · O Fallon, MO
Provider details
- NPI number
- 1306248794
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Brockelmann, Managing Partner/Owner(636) 240-8096
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2120 Bryan Valley Commercial Dr
O Fallon, MO 63366-3495
Phone: (636) 240-8096
Fax: (636) 272-4484
Approximate (ZIP-level) locationGet directions
Mailing address
2120 Bryan Valley Commercial Dr
O Fallon, MO 63366-3495
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2014-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.