MARY JO GORMAN M.D.
NPI 1972576775
Internal Medicine - Critical Care Medicine in Bridgeton, MO

Q: What is Mary Gorman's NPI number?

The NPI number for Mary Gorman is 1972576775. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Mary Gorman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gorman was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 10, 2006

12303 DEPAUL DRIVE, BRIDGETON, MO 63044(314) 344-6000(314) 514-6020 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Jo Gorman M.d. NPPES

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

MARY JO GORMAN M.D. (NPI 1972576775) is an individual critical care medicine provider in Bridgeton, Missouri, licensed in Missouri (R5G50) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1972576775

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameMARY JO GORMANCredential: M.D.

Location Address12303 DEPAUL DRIVEBridgeton, MO 63044-5536

Mailing Address999 Executive Parkway Dr, Suite 320Saint Louis, MO 63141-6336 · (314) 514-6000 · Fax (314) 514-6020

Phone(314) 344-6000

Fax(314) 514-6020

Sole ProprietorNo

Enumeration DateFebruary 10, 2006

Last NPPES UpdateMarch 23, 2009

✔ NPI 1972576775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in MO · R5G50

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

12303 DEPAUL DRIVE, Bridgeton, MO 63044

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Other Identifiers 2

Medicare UPINE56435MO

Medicare PIN003012671MO

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.

JESSICA WILD FNP

Family Medicine