BRIDGETON EMERGENCY GROUP LLC
NPI 1053660076
Emergency Medicine in Bridgeton, MO

Active since September 05, 2012
12303 DE PAUL DR, BRIDGETON, MO 63044(800) 893-9698 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgeton Emergency Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGETON EMERGENCY GROUP LLC (NPI 1053660076) is a healthcare organization registered as an emergency medicine in Bridgeton, Missouri and active in the NPI registry since September 2012. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1053660076
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBRIDGETON EMERGENCY GROUP LLC
Location Address12303 DE PAUL DRBridgeton, MO 63044-2512
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (337) 354-1153
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (800) 893-9698
Enumeration DateSeptember 5, 2012
Last NPPES UpdateJanuary 14, 2016
NPI 1053660076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
12303 DE PAUL DR, Bridgeton, MO 63044

Other Identifiers 2

Medicare PINMA4295MO
Medicaid1053660076MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
12303 DE PAUL DR, RADIOLOGY DEPT
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Nurse Practitioner (Adult Health)
12303 DE PAUL DR
BRIDGETON, MO 63044
Student in an Organized Health Care Education/Training Program
12303 DE PAUL DR
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Hospitalist
12303 DE PAUL DR
BRIDGETON, MO 63044
Internal Medicine (Critical Care Medicine)
12303 DE PAUL DR
BRIDGETON, MO 63044
Psychiatric Unit
12303 DE PAUL DR
BRIDGETON, MO 63044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeton Emergency Group LLC's NPI number?

The NPI number for Bridgeton Emergency Group LLC is 1053660076. It was assigned to this organization in the NPPES registry on September 5, 2012.

Where is Bridgeton Emergency Group LLC located?

Bridgeton Emergency Group LLC is located at 12303 De Paul Dr, Bridgeton, MO 63044. The listed phone number is (800) 893-9698.

What is Bridgeton Emergency Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Bridgeton Emergency Group LLC was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.