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BRIDGETON PAIN GROUP
NPI 1114626462
General Practice in Bridgeton, MO

Active since February 27, 2023
11520 SAINT CHARLES ROCK RD STE 201, BRIDGETON, MO 63044(314) 526-6093 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2023, Jul 24, 2023, May 15, 2023 and 1 more (4 updates tracked since 2023).

About Bridgeton Pain Group NPPES

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

BRIDGETON PAIN GROUP (NPI 1114626462) is a healthcare organization registered as a general practice in Bridgeton, Missouri and active in the NPI registry since February 2023. The organization lists Mitchell Liberman, President, as its authorized official.

NPPES Registry Identity

NPI1114626462
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBRIDGETON PAIN GROUP
Location Address11520 SAINT CHARLES ROCK RD STE 201Bridgeton, MO 63044
Mailing Address11520 Saint Charles Rock Rd Ste 201Bridgeton, MO 63044-2732 · (314) 526-6093
Phone(314) 526-6093
Organization SubpartNo
Authorized OfficialMitchell LibermanPresident · (314) 526-6093
Enumeration DateFebruary 27, 2023
Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1114626462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11520 SAINT CHARLES ROCK RD STE 201, Bridgeton, MO 63044
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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

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 Pain Group's NPI number?

The NPI number for Bridgeton Pain Group is 1114626462. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Bridgeton Pain Group located?

Bridgeton Pain Group is located at 11520 Saint Charles Rock Rd Ste 201, Bridgeton, MO 63044. The listed phone number is (314) 526-6093.

What is Bridgeton Pain Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bridgeton Pain Group was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.