DR. BRAD C WHITE (NPI# 1205810512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205810512 |
| Entity Type | Individual |
| Full Name | DR. BRAD C WHITE |
| Credential | MD |
| Practice Address |
12855 N 40 Dr Suite 375 Saint Louis MO 63141-8635 |
| Practice Telephone | 3145676071 |
| Practice Fax Number | 3145677961 |
| Mailing Telephone | 3145676071 |
| Mailing Fax Number | 3145677961 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 114377 | MO | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578730685 | Brad Aaron White | Anesthesiology | 1611 S Utica Ave, Box 217, Tulsa, OK 74104-4909 | 2008-05-08 |
| Street Address |
12855 N 40 DR SUITE 375 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206354 | St. Louis Pharmaceutical Services LLC | Pharmacy | 12855 N 40 Dr, Saint Louis, MO 63141-8635 | 2005-06-22 |
| 1700423076 | Faisal Matar | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-12-05 |
| 1750847984 | Samantha Mintert | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-02-12 |
| 1629439302 | Elizabeth Galler | Physician Assistant | 12855 N 40 Dr, 180, Saint Louis, MO 63141-8657 | 2016-03-09 |
| 1992161210 | Amy Thayer | Nurse Practitioner | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 | 2016-01-04 |
| 1821453796 | Mason Ridge Ambulatory Surgery Center Lp | Clinic/Center | 12855 N 40 Dr, Suite 150, Saint Louis, MO 63141-8657 | 2015-12-21 |
| 1083090088 | Rebecca Suzanne Roe Thomasson | Physician Assistant | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 | 2015-08-03 |
| 1891179040 | Forefront Dermatology, S.c. | Dermatology | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141 | 2015-07-17 |
| 1669869657 | Christopher Joseph Forsbach | Podiatrist | 12855 N 40 Dr, Saint Louis, MO 63141 | 2015-04-17 |
| 1346633930 | Chesterfield Anesthesia Associates of Missouri, LLC | Anesthesiology | 12855 N 40 Dr, 150, Saint Louis, MO 63141-8657 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1265690978 | Richard Louis Mackey | Urology | 2 Bennington Ln, Saint Louis, MO 63124-1235 | 2008-05-29 |
| 1396963658 | Matthew C Kincade | Urology | 607 S New Ballas Rd Ste 3100, Saint Louis, MO 63141-8219 | 2007-04-23 |
| 1699812990 | Ramarao Kaza | Urology | 2312 Lemay Ferry Rd, Saint Louis, MO 63125-3127 | 2007-01-30 |
| 1972665461 | Urology of St. Louis, Inc. | Urology | 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 | 2006-12-14 |
| 1972600559 | Christopher Thomas Arett | Urology | 1040 N Mason Rd Ste 122, Ste 122, Saint Louis, MO 63141-6361 | 2006-09-17 |
| 1578667051 | Metropolitan Urological Specialists PC | Urology | 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122 | 2006-09-12 |
| 1548286768 | Ramakrishna Venkatesh | Urology | 11133 Dunn Rd Ste 202n, Ste 202n, Saint Louis, MO 63136-6163 | 2006-07-14 |
| 1376569509 | Sam B Bhayani | Urology | 4921 Parkview Pl Ste 11c, Ste 11c, Saint Louis, MO 63110-1032 | 2006-07-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.