IMPACT PHYSICIAN GROUP, MISSOURI, LLC
NPI 1962971531
Internal Medicine in Bridgeton, MO

Q: What is Impact Physician Group, Missouri, LLC's specialty?

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

Active since November 13, 2018

12380 DE PAUL DR, BRIDGETON, MO 63044(314) 447-9700 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2022, Dec 29, 2020, Nov 13, 2018 (3 updates tracked since 2018).

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About Impact Physician Group, Missouri, Llc NPPES

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

IMPACT PHYSICIAN GROUP, MISSOURI, LLC (NPI 1962971531) is a healthcare organization registered as an internal medicine in Bridgeton, Missouri and active in the NPI registry since November 2018. The organization maintains 2 additional practice locations and lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962971531

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameIMPACT PHYSICIAN GROUP, MISSOURI, LLC

Location Address12380 DE PAUL DRBridgeton, MO 63044-2511

Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599

Phone(314) 447-9700

Organization SubpartNo

Authorized OfficialPaul MillerCeo · (678) 967-5599

Enumeration DateNovember 13, 2018

Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1962971531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

12380 DE PAUL DR, Bridgeton, MO 63044

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Secondary Practice Locations 2

Location 13015 N Ballas RdSaint Louis, MO 63131-2329 · Phone (314) 996-6500

Location 21027 Bellevue AveSaint Louis, MO 63117-1996 · Phone (314) 768-5202

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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.

HALEY SMITH

Pharmacy Technician