BRADLEY A BECKER


Address: 1465 S Grand Blvd, Saint Louis, MO 63104-1003
Phone: 3142684014

BRADLEY A BECKER (NPI# 1609887983) 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) 1609887983
Entity Type Individual
Full Name BRADLEY A BECKER
Credential MD
Practice Address 1465 S Grand Blvd
Saint Louis
MO 63104-1003
Mailing Address 3691 Rutger Ave
St. Louis
MO 63110
Practice Telephone 3142684014
Practice Fax Number 3142682712
Mailing Telephone 3149776828
Mailing Fax Number 3149776777
Enumeration Date 2006-08-11
Last Update Date 2007-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology 106905 MO Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 106905 MO Allopathic & Osteopathic Physicians
N 2080I0007X Pediatrics
Specialization: Clinical & Laboratory Immunology
106905 MO Allopathic & Osteopathic Physicians
Y 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
106905 MO Allopathic & Osteopathic Physicians

Other Providers BRADLEY BECKER

NPI Name Taxonomy Address Enumeration
1245307396 Bradley K Becker Plastic Surgery 18555 N 79th Ave Ste B102, Glendale, AZ 85308-8372 2006-11-30
1992327449 Bradley Michael Becker Student in an Organized Health Care Education/Training Program 3301 Matlock Rd, Arlington, TX 76015-2908 2020-05-07
1215192000 Bradley David Becker Dentist 3600 Old Greenwood Rd, Suite 2, Fort Smith, AR 72903-5929 2008-07-22

Office Location

Street Address 1465 S GRAND BLVD
City SAINT LOUIS
State MO
Zip Code 63104-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528676921 Gunjanpreet Kaur Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-07-21
1972128510 Millicent Rose Palacios Nurse Practitioner 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-06-09
1083241863 Nathaniel Joseph Conner Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1467089177 Stacy Kollanur Mathews Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1568099299 Susan Aye Mya Oo Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1861029514 Gregory Joseph Weissler II Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1154958874 Brendan Michael Mcenery Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1316574049 Satvika Mikkilineni Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1972130607 Katherine Letha Randolph Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1346877081 Samuel Ryan Richey Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 2080P0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Allergy/Immunology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649499401 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-24
1619993920 Gordon R Bloomberg Pediatrics 1 Childrens Pl, Ste 5s30, Saint Louis, MO 63110-1002 2006-07-14
1821037334 Ray S Davis Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2006-06-06
1578510509 Lisa V Suffian Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2006-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275828717 Michael Ian Derrick Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2011-06-13
1073561742 Paul Joseph Dowling Jr. Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-05

Competitor

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City SAINT LOUIS
Zip Code 63104

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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