BRIDGETON PAIN GROUP
NPI 1114626462
General Practice in Bridgeton, MO
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridgeton Pain Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bridgeton Pain Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Bridgeton Pain Group enrolled in Medicare?
Yes. Bridgeton Pain Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bridgeton Pain Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Bridgeton Pain Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Bridgeton Pain Group · NPI 1114626462
General Practice organization in Bridgeton, Missouri. Organization record, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1114626462 (Entity type: Organization)
- **Enumerated:** February 27, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Mitchell Liberman, PRESIDENT
## Practice location
- **Address:** 11520 SAINT CHARLES ROCK RD STE 201, Bridgeton, MO 63044
- **Phone:** (314) 526-6093
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114626462) · Data from the CMS NPPES public registry.