IndividualActive
Brian Mahaffey, MD
NPI 1306984505 · Sports Medicine (Family Medicine) Physician · Ballwin, MO
Provider details
- NPI number
- 1306984505
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 103424 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15945 Clayton Rd
Suite 210
Ballwin, MO 63011-2490
Phone: (314) 251-1556
Fax: (636) 893-1362
Approximate (ZIP-level) locationGet directions
Mailing address
15945 Clayton Rd
Ballwin, MO 63011-2490
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.