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CHOTCHAI BOONKHAM MD PC
NPI 1619248853
Clinic/Center - Primary Care in Bridgeton, MO

Active since January 19, 2012
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: August 30, 2026.

About Chotchai Boonkham Md Pc NPPES

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

CHOTCHAI BOONKHAM MD PC (NPI 1619248853) is a healthcare organization registered as a primary care in Bridgeton, Missouri and active in the NPI registry since January 2012. The organization lists Chotchai Boonkham, Owner, as its authorized official.

NPPES Registry Identity

NPI1619248853
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHOTCHAI BOONKHAM MD PC
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
Phone(314) 291-3717
Fax(314) 291-1671
Organization SubpartNo
Authorized OfficialChotchai BoonkhamOwner · (314) 291-3717
Enumeration DateJanuary 19, 2012
✔ NPI 1619248853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MO · 34210
3478 BRIDGELAND DR, Bridgeton, MO 63044
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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.

DR. RILEY J KATSEV DDS
Dentist (General Practice)
3478 BRIDGELAND DR
BRIDGETON, MO 63044
St. Louis County (314) 291-2573
DR. BRUCE JAY BERWALD MD
Internal Medicine
3478 BRIDGELAND DR
BRIDGETON, MO 63044
St. Louis County (314) 739-8200
DR. CHOTCHAI BOONKHAM M.D.
Internal Medicine
3478 BRIDGELAND DR, SUITE 1
BRIDGETON, MO 63044
St. Louis County (314) 291-3717
DR. MICHAEL THEODORE KATSEV DDS
Dentist
3478 BRIDGELAND DR
BRIDGETON, MO 63044
St. Louis County (314) 291-2573
BERWALD SURGICAL MEDICAL INC
Non-Pharmacy Dispensing Site
3478 BRIDGELAND DR, STE 2
BRIDGETON, MO 63044
St. Louis County (314) 739-8200
MICHAEL T KATSEV DDS PC
Dentist (General Practice)
3478 BRIDGELAND DR, SUITE 3
BRIDGETON, MO 63044
St. Louis County (314) 291-2573
DR. DAVID MORTON BERWALD MD
General Practice
3478 BRIDGELAND DR
BRIDGETON, MO 63044
St. Louis County (314) 739-8200

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 MD PC's NPI number?

The NPI number for Chotchai Boonkham MD PC is 1619248853. It was assigned to this organization in the NPPES registry on January 19, 2012.

Where is Chotchai Boonkham MD PC located?

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

What is Chotchai Boonkham MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Chotchai Boonkham MD PC was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.