DR. CHOTCHAI BOONKHAM M.D.
NPI 1417058959
Internal Medicine in Bridgeton, MO

Active since September 26, 2006
3478 BRIDGELAND DR, SUITE 1, BRIDGETON, MO 63044(314) 291-3717(314) 291-1671 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chotchai Boonkham M.d. NPPES

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

DR. CHOTCHAI BOONKHAM M.D. (NPI 1417058959) is an individual internal medicine provider in Bridgeton, Missouri, licensed in Missouri (34210) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1417058959
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHOTCHAI BOONKHAMCredential: M.D.
Location Address3478 BRIDGELAND DR, SUITE 1Bridgeton, MO 63044-2619
Mailing Address3478 Bridgeland Dr, Suite 1Bridgeton, MO 63044-2619 · (314) 291-3717 · Fax (314) 291-1671
Fax(314) 291-1671
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 19, 2012
NPI 1417058959 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 · 34210
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.

3478 BRIDGELAND DR, Bridgeton, MO 63044

Other Identifiers 4

Other6900MO · Bcbs Provider Id
Medicare UPINA10865MO
Medicare ID-Type Unspecified000003793MO · Provider Id
Medicaid200701308MO

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
3478 BRIDGELAND DR
BRIDGETON, MO 63044
Internal Medicine
3478 BRIDGELAND DR
BRIDGETON, MO 63044
Dentist
3478 BRIDGELAND DR
BRIDGETON, MO 63044
Non-Pharmacy Dispensing Site
3478 BRIDGELAND DR, STE 2
BRIDGETON, MO 63044
Dentist (General Practice)
3478 BRIDGELAND DR, SUITE 3
BRIDGETON, MO 63044
Clinic/Center (Primary Care)
3478 BRIDGELAND DR, SUITE 1
BRIDGETON, MO 63044
General Practice
3478 BRIDGELAND DR
BRIDGETON, MO 63044

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 Chotchai Boonkham's NPI number?

The NPI number for Chotchai Boonkham is 1417058959. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Chotchai Boonkham located?

Chotchai Boonkham practices at 3478 Bridgeland Dr Suite 1, Bridgeton, MO 63044. The listed phone number is (314) 291-3717.

What is Chotchai Boonkham'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 Chotchai Boonkham was last updated on January 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.