ST. LOUIS CENTER OF PREVENTITIVE & LONGEVITY MEDICINE, LLC
NPI 1407970288
Internal Medicine in Saint Louis, MO

Active since March 19, 2007
1034 S BRENTWOOD BLVD, SUITE 1060, SAINT LOUIS, MO 63117(314) 721-0666(314) 727-9612 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Louis Center Of Preventitive & Longevity Medicine, Llc NPPES

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

ST. LOUIS CENTER OF PREVENTITIVE & LONGEVITY MEDICINE, LLC (NPI 1407970288) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since March 2007. The organization lists Richard A. Bligh, Physician, as its authorized official.

NPPES Registry Identity

NPI1407970288
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. LOUIS CENTER OF PREVENTITIVE & LONGEVITY MEDICINE, LLC
Location Address1034 S BRENTWOOD BLVD, SUITE 1060Saint Louis, MO 63117-1223
Mailing Address1836 Lackland Hill Pkwy, Attn Credentialing DepatSaint Louis, MO 63146-3572 · (314) 989-0300
Fax(314) 727-9612
Organization SubpartNo
Authorized OfficialRichard A. BlighPhysician · (314) 721-0666
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1407970288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · MD102881
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1034 S BRENTWOOD BLVD, Saint Louis, MO 63117

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 20

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

Social Worker (Clinical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
Physician Assistant (Medical)
1034 S BRENTWOOD BLVD, SUITE 1120
SAINT LOUIS, MO 63117
Clinical Nurse Specialist (Medical-Surgical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
Specialist
1034 S BRENTWOOD BLVD, SUITE 516
SAINT LOUIS, MO 63117
Psychiatry & Neurology (Neurology)
1034 S BRENTWOOD BLVD, SUITE 660
SAINT LOUIS, MO 63117
Pharmacist
1034 S BRENTWOOD BLVD, SUITE 102
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1034 S BRENTWOOD BLVD, SUITE 946
SAINT LOUIS, MO 63117
Counselor (Professional)
1034 S BRENTWOOD BLVD
RICHMOND HEIGHTS, MO 63117

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 St. Louis Center Of Preventitive & Longevity Medicine, LLC's NPI number?

The NPI number for St. Louis Center Of Preventitive & Longevity Medicine, LLC is 1407970288. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is St. Louis Center Of Preventitive & Longevity Medicine, LLC located?

St. Louis Center Of Preventitive & Longevity Medicine, LLC is located at 1034 S Brentwood Blvd Suite 1060, Saint Louis, MO 63117. The listed phone number is (314) 721-0666.

What is St. Louis Center Of Preventitive & Longevity Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for St. Louis Center Of Preventitive & Longevity Medicine, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.