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BRUCE J. LIPPMAN
NPI 1851062194
Internal Medicine - Nephrology in Creve Center, MO

Active since September 27, 2021
1009 EXECUTIVE PKWY DRIVE, CREVE CENTER, MO 63141(573) 267-2318 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2022, Oct 22, 2021, Sep 27, 2021 (3 updates tracked since 2021).

About Bruce J. Lippman NPPES

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

BRUCE J. LIPPMAN (NPI 1851062194) is a healthcare organization registered as a nephrology in Creve Center, Missouri and active in the NPI registry since September 2021. The organization lists Bruce J. Lippmann, Physician, as its authorized official.

NPPES Registry Identity

NPI1851062194
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBRUCE J LIPPMANN MD LLC
Location Address1009 EXECUTIVE PKWY DRIVECreve Center, MO 63141
Mailing Address1209 S. Big Bend Blvd., # 179106Saint Louis, MO 63117-1645 · (573) 267-2318
Phone(573) 267-2318
Organization SubpartNo
Authorized OfficialBruce J. LippmannPhysician · (314) 313-4314
Enumeration DateSeptember 27, 2021
Last NPPES UpdateApril 4, 20223 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1851062194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1009 EXECUTIVE PKWY DRIVE, Creve Center, MO 63141
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Other Names 1

Doing Business AsBruce J. Lippman

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce J. Lippman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20211104003151Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruce J. Lippman, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Lippmann, MD
Nephrology
NPI 1346330081
1009 EXECUTIVE PARKWAY DR
Creve Coeur, MO 63141
(573) 267-2318
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bruce J Lippmann MD LLC's NPI number?

The NPI number for Bruce J Lippmann MD LLC is 1851062194. It was assigned to this organization in the NPPES registry on September 27, 2021. The provider is doing business as Bruce J. Lippman.

Where is Bruce J Lippmann MD LLC located?

Bruce J Lippmann MD LLC is located at 1009 Executive Pkwy Drive, Creve Center, MO 63141. The listed phone number is (573) 267-2318.

What is Bruce J Lippmann MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Bruce J Lippmann MD LLC enrolled in Medicare?

Yes. Bruce J Lippmann MD LLC is registered in the Medicare PECOS enrollment system.

When is Bruce J Lippmann MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bruce J Lippmann MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Bruce J Lippmann MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruce J Lippmann MD LLC was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.