Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RICHARD BONSRA FYNN MD,DPM
NPI 1093366064
Podiatrist - Foot & Ankle Surgery in Bridgeton, MO

Active since September 21, 2019
12303 DEPAUL DRIVE, BRIDGETON, MO 63044(636) 734-5835(314) 344-7258 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Sep 21, 2019 (2 updates tracked since 2019).

About Dr. Richard Bonsra Fynn Md,dpm NPPES

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

DR. RICHARD BONSRA FYNN MD,DPM (NPI 1093366064) is an individual foot & ankle surgery provider in Bridgeton, Missouri, licensed in Missouri (2026030445) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1093366064
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. RICHARD BONSRA FYNNCredential: MD,DPM
Location Address12303 DEPAUL DRIVEBridgeton, MO 63044
Mailing Address285 Boston DrNorth Salt Lake, UT 84054-6076 · (385) 461-7115
Fax(314) 344-7258
Sole ProprietorYes
Enumeration DateSeptember 21, 2019
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1093366064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MO · 2026030445
12303 DEPAUL DRIVE, Bridgeton, MO 63044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Family Medicine
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Pediatrics
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Registered Nurse
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Nurse Practitioner (Pediatrics)
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Nurse Practitioner (Psychiatric/Mental Health)
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Dietitian, Registered
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Podiatrist (Foot & Ankle Surgery)
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Pediatrics
12303 DEPAUL DRIVE
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 Richard Fynn's NPI number?

The NPI number for Richard Fynn is 1093366064. It was assigned to this individual provider in the NPPES registry on September 21, 2019.

Where is Richard Fynn located?

Richard Fynn practices at 12303 Depaul Drive, Bridgeton, MO 63044. The listed phone number is (636) 734-5835.

What is Richard Fynn's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Richard Fynn was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.