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BLUE BAYOU SERVICE INC
NPI 1144577305
General Practice in Saint Louis, MO

Active since August 07, 2012
1310 PAPIN ST, SAINT LOUIS, MO 63103(314) 502-1300 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Bayou Service Inc NPPES

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

BLUE BAYOU SERVICE INC (NPI 1144577305) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since August 2012. The organization lists William Bronson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144577305
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE BAYOU SERVICE INC
Location Address1310 PAPIN STSaint Louis, MO 63103-3132
Mailing Address1310 Papin StSaint Louis, MO 63103-3132 · (314) 502-1300
Phone(314) 502-1300
Organization SubpartNo
Authorized OfficialWilliam BronsonCeo · (314) 502-1300
Enumeration DateAugust 7, 2012
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1144577305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 12345
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
1310 PAPIN ST, Saint Louis, MO 63103
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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 2

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

MR. BRADLEY BRUCE ABRAMS PT
Physical Therapist
1310 PAPIN ST, SUITE 109
SAINT LOUIS, MO 63103
St. Louis City (314) 255-9749
INNOVATIVE THERAPY SERVICES, LLC
Physical Therapist
1310 PAPIN ST, SUITE 109
SAINT LOUIS, MO 63103
St. Louis City (315) 558-1385

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 Blue Bayou Service Inc's NPI number?

The NPI number for Blue Bayou Service Inc is 1144577305. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Blue Bayou Service Inc located?

Blue Bayou Service Inc is located at 1310 Papin St, Saint Louis, MO 63103. The listed phone number is (314) 502-1300.

What is Blue Bayou Service Inc'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 Blue Bayou Service Inc was last updated on September 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.