BRADLEY K BAKER


Address: 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Phone: 3145254492

BRADLEY K BAKER (NPI# 1093790487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093790487
Entity Type Individual
Full Name BRADLEY K BAKER
Credential M.D.
Practice Address 10010 Kennerly Rd
Saint Louis
MO 63128-2106
Mailing Address 11475 Olde Cabin Rd Ste 200
Saint Louis
MO 63141-7129
Practice Telephone 3145254492
Practice Fax Number 3145254481
Mailing Telephone 3149918200
Mailing Fax Number 3149918206
Enumeration Date 2005-12-08
Last Update Date 2020-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
0101241014 VA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
0429898 KS Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
45140-20 WI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
21050 WV Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD459606 PA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
036077113 IL Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
37085 TN Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
36777 MO Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
36777 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 202936027 05

Other Providers BRADLEY BAKER

NPI Name Taxonomy Address Enumeration
1225673742 Bradley Baker Pharmacist 1287 Pullman Ct, Sparks, NV 89434-4073 2019-11-07
1801159041 Bradley Ray Baker Chiropractor 620 E Lamar St, Royse City, TX 75189-3900 2012-06-22
1154376283 Bradley R Baker Optometrist 516 Jay St, Colusa, CA 95932-2436 2006-05-24
1053315887 Bradley Scott Baker Orthopaedic Surgery 7455 W Washington Ave, #160, Las Vegas, NV 89128-4337 2005-06-09
1386207967 Bradley Baker Social Worker 110 N 4th Ave, Ann Arbor, MI 48104-5503 2019-04-18
1174043319 Bradley Baker Physical Therapist 15301 Grove Cir N, Maple Grove, MN 55369-4475 2017-06-20
1932562618 Bradley Baker Hospitalist 2142 N Cove Blvd, Toledo, OH 43606-3895 2016-03-31
1831357615 Bradley Eugene Baker Internal Medicine 2801 N Gantenbein Ave, Portland, OR 97227-1623 2008-05-28

Office Location

Street Address 10010 KENNERLY RD
City SAINT LOUIS
State MO
Zip Code 63128-2106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659374908 Udayshanker Kasinadhuni Anesthesiology 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2005-05-31
1598376287 Laura Mayer Dietitian, Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-08-14
1265042014 Caitlin E Wagner Anesthesiologist Assistant 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-08-06
1881215424 Samantha Broughton Nurse Practitioner 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-05-06
1437779444 Kathleen Stebe Physical Therapist 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-04-20
1073148052 Carly Pruemer Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1568097541 Altan Halici Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1326673310 Rhyz Wilson Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1669007654 Megan Hahn Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1851925085 Katie Walsh Nurse Practitioner 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-02-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
Find all providers in zip 63128

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609130566 Kristin Harris Drake Radiology 621 S New Ballas Rd Ste 23a, Saint Louis, MO 63141 2012-06-26
1093083016 William G Crawford Radiology 61 Crestwood Dr, Saint Louis, MO 63105-3020 2011-12-05
1558657643 Joseph Gary Livingston Radiology One Barnes-jewsih Hospital Plaza, Mailstop 90-09-355, Saint Louis, MO 63110 2011-06-27
1013219344 Pure Imaging LLC Radiology 12345 West Bend Drive, Saint Louis, MO 63128-2104 2010-11-18
1881884658 Zhengming Gu Radiology 9240 Radiom Dr, Saint Louis, MO 63123-5545 2007-07-27
1306057310 Mohammed Ali Abbas Radiology 1402 S Grand Blvd Rm 260, Saint Louis, MO 63104-1004 2007-05-24
1104040963 Saadoon Kadir Radiology 2909 Netherton Dr, Saint Louis, MO 63136-4677 2007-04-12
1376612739 Carl Joseph Aschkenasi Radiology 898 Alanson Dr, Saint Louis, MO 63132-5039 2006-11-07
1629182829 Jeffery A Hardy Radiology 2344 Hampton Ave, Saint Louis, MO 63139-2909 2006-08-18
1124132436 Alfred D Shaplin Radiology 1034 S Brentwood Blvd Ste 280, Saint Louis, MO 63117-1221 2006-08-17
Find all providers in SAINT LOUIS

Competitor

Search similar providers

City SAINT LOUIS
Zip Code 63128

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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