St Louis Gastroenterology Consultants Pc

LBN: St Louis Gastroenterology Consultants Pc
St Louis Gastroenterology Consultants Pc is an health care organization with primary practice located at 10012 Kennerly Rd , St Louis MO 63128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. St Louis Gastroenterology Consultants Pc can be contacted via phone (314) 543-5200, or through Brady, Timothy T via phone (314) 543-5200.

Contact Information

Primary practice address
10012 Kennerly Rd St Louis MO 63128
Phone: (314) 543-5200
Fax: (314) 543-5219
Website:
Map and Directions
Authorized official contact:
Name: Brady, Timothy T Doctor of Medicine (MD)
Phone: (314) 543-5200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1639236136
LBN Legal business name St Louis Gastroenterology Consultants Pc
DBA Doing business as
Authorized official Brady, Timothy T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639236136 NPPES
Missouri MEDICAID 502449705

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