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ST LOUIS GASTROENTEROLOGY CONSULTANTS PC
NPI 1639236136
Internal Medicine - Gastroenterology in St Louis, MO

Active since January 03, 2007
10012 KENNERLY RD, ST LOUIS, MO 63128(314) 543-5200(314) 543-5219 Get Directions Write a Review

NPPES record last updated: November 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Louis Gastroenterology Consultants Pc NPPES

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

ST LOUIS GASTROENTEROLOGY CONSULTANTS PC (NPI 1639236136) is a healthcare organization registered as a gastroenterology in St Louis, Missouri and active in the NPI registry since January 2007. The organization lists Timothy T Brady, President, as its authorized official.

NPPES Registry Identity

NPI1639236136
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameST LOUIS GASTROENTEROLOGY CONSULTANTS PC
Location Address10012 KENNERLY RDSt Louis, MO 63128
Mailing Address10012 Kennerly Rd, Suite 101St Louis, MO 63128 · (314) 543-5200 · Fax (314) 543-5219
Phone(314) 543-5200
Fax(314) 543-5219
Organization SubpartNo
Authorized OfficialTimothy T BradyPresident · (314) 543-5200
Enumeration DateJanuary 3, 2007
Last NPPES UpdateNovember 17, 2009
✔ NPI 1639236136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10012 KENNERLY RD, St Louis, MO 63128
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Other Identifiers 2

Medicaid502449705MO
Medicare PIN000011267MO

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.

DR. CHRISTOPHER CHARLES BOWE MD
Internal Medicine
10012 KENNERLY RD, SUITE 102
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4225
DR. YAZAN A ABDALLA M.D.
Internal Medicine (Gastroenterology)
10012 KENNERLY RD, SUITE 404
SAINT LOUIS, MO 63128
St. Louis County (314) 543-5911
JEANE E KIENE FNP-C
Nurse Practitioner (Family)
10012 KENNERLY RD, SUITE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Obstetrics & Gynecology
10012 KENNERLY RD, STE 405
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4880
KATHLEEN L FISHER RN, BC, ANP
Nurse Practitioner (Adult Health)
10012 KENNERLY RD, SUITE 204
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1220
DR. ROBERT FRED BECKMAN M.D.
Surgery
10012 KENNERLY RD, SUITE 406
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1224
DR. THOMAS BENJAMIN MORRISON MD
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602
DR. CHARLES F CAREY M.D.
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602

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 Gastroenterology Consultants PC's NPI number?

The NPI number for St Louis Gastroenterology Consultants PC is 1639236136. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is St Louis Gastroenterology Consultants PC located?

St Louis Gastroenterology Consultants PC is located at 10012 Kennerly Rd, St Louis, MO 63128. The listed phone number is (314) 543-5200.

What is St Louis Gastroenterology Consultants PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for St Louis Gastroenterology Consultants PC was last updated on November 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.