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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 202936027 | 05 |
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 |
Street Address |
10010 KENNERLY RD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-2106 |
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 |
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 Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
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 |
City | SAINT LOUIS |
Zip Code | 63128 |
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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.