DEPAUL MEDICAL GROUP NEUROSURGERY
NPI 1154434736
Neurological Surgery in Bridgeton, MO
NPI Status: Active since August 16, 2006
Contact Information
12255 DE PAUL DR
SUITE 830
BRIDGETON, MO
ZIP 63044
Phone: (314) 291-6556
- Organization
- Neurological Surgery
- CLIA Number: 26D0437675
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2027
About DEPAUL MEDICAL GROUP NEUROSURGERY
This page provides the complete NPI Profile along with additional information for Depaul Medical Group Neurosurgery, a provider established in Bridgeton, Missouri operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1154434736 assigned on August 2006. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Depaul Medical Group Neurosurgery. The authorized official of this NPI record is Ms. Laura Pullum (Director Of Patient Accounts)
- NPI
- 1154434736
- Provider Legal Name
- SSM DEPAUL MEDICAL GROUP, INC.
- Other Organization Name
- DEPAUL MEDICAL GROUP NEUROSURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12255 DE PAUL DR SUITE 830 BRIDGETON, MO 63044
- Location Phone
- (314) 291-6556
- Mailing Address
- 12255 DE PAUL DR SUITE 830 BRIDGETON, MO 63044
- Mailing Phone
- (314) 291-6556
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0437675
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- SURESH CHODE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Depaul Medical Group Neurosurgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154434736, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154434736, enumerated as an "organization" on August 16, 2006.
The provider is located at 12255 DE PAUL DR SUITE 830 BRIDGETON, MO 63044 and the phone number is (314) 291-6556.
Neurological Surgery with taxonomy code 207T00000X.
