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BAHM FAMILY MEDICINE LLC
NPI 1184839136
Family Medicine in Saint Louis, MO

Active since May 12, 2007CLIA 26D0954863 · Waiver
2880 NETHERTON DR STE 200, SAINT LOUIS, MO 63136(314) 355-5300(314) 521-4656 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Bahm Family Medicine Llc NPPES

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

BAHM FAMILY MEDICINE LLC (NPI 1184839136) is a healthcare organization registered as a family medicine in Saint Louis, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Akinrinola Fatoki, Member, as its authorized official.

NPPES Registry Identity

NPI1184839136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAHM FAMILY MEDICINE LLC
Location Address2880 NETHERTON DR STE 200Saint Louis, MO 63136-4697
Mailing AddressPo Box 4204Chesterfield, MO 63006-4204 · (314) 355-5300 · Fax (314) 521-4656
Phone(314) 355-5300
Fax(314) 521-4656
Organization SubpartNo
Authorized OfficialAkinrinola FatokiMember · (314) 355-5300
Enumeration DateMay 12, 2007
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1184839136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 109044
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2880 NETHERTON DR STE 200, Saint Louis, MO 63136
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Other Identifiers 1

Medicaid208030767MO

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0954863

Bahm Family Medicine · Saint Louis, MO
Active · expires Dec 9, 2026
CLIA Number26D0954863
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorAkinrinola Fatoki MD
Laboratory Phone(314) 355-5300
Laboratory LocationBahm Family Medicine2880 Netherton Drive, Ste 200, Saint Louis, MO 63136
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MCPHERSON MEDICAL & DIAGNOSTIC LLC
Clinic/Center
2880 NETHERTON DR STE 200
SAINT LOUIS, MO 63136
St. Louis County (314) 355-5300
DR. MOYOSORE KIKELOMO ONIFADE M.D.
Internal Medicine
2880 NETHERTON DR STE 200
SAINT LOUIS, MO 63136
St. Louis County (636) 333-4500
DR. M. K. ONIFADE INTERNAL MEDICINE PRACTICE LLC
Internal Medicine
2880 NETHERTON DR STE 200
SAINT LOUIS, MO 63136
St. Louis County (314) 355-5300

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 Bahm Family Medicine LLC's NPI number?

The NPI number for Bahm Family Medicine LLC is 1184839136. It was assigned to this organization in the NPPES registry on May 12, 2007.

Where is Bahm Family Medicine LLC located?

Bahm Family Medicine LLC is located at 2880 Netherton Dr Ste 200, Saint Louis, MO 63136. The listed phone number is (314) 355-5300.

What is Bahm Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bahm Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0954863) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bahm Family Medicine LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.