BERNARD C RANDOLPH JR. (NPI# 1841286358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841286358 |
| Entity Type | Individual |
| Full Name | BERNARD C RANDOLPH JR. |
| Credential | M.D. |
| Practice Address |
12855 North Forty Drive Suite 125 St Louis MO 63141 |
| Mailing Address |
12813 Flushing Meadows Drive Suite 210 St. Louis MO 63131 |
| Practice Telephone | 3149660111 |
| Practice Fax Number | 3149661023 |
| Mailing Telephone | 3149660111 |
| Mailing Fax Number | 3149661023 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | R6G60 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
12855 NORTH FORTY DRIVE SUITE 125 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881707644 | St Louis Orthopedic Institute Inc | Orthopaedic Surgery | 12855 North Forty Drive, Suite 125, St Louis, MO 63141 | 2006-08-16 |
| 1285620260 | Donald Wade Hammond II | Orthopaedic Surgery | 12855 North Forty Drive, Suite 125, St Louis, MO 63141 | 2005-09-23 |
| 1932195443 | Sandra L Tate | Physical Medicine & Rehabilitation | 12855 North Forty Drive, Suite 125, St Louis, MO 63141 | 2005-09-21 |
| 1104812510 | James C. Strickland | Orthopaedic Surgery | 12855 North Forty Drive, Suite 125, St Louis, MO 63141 | 2005-09-21 |
| 1659366284 | Donald L. Pruitt | Orthopaedic Surgery | 12855 North Forty Drive, Suite 125, St Louis, MO 63141 | 2005-09-20 |
| 1497740021 | Ryan W. Couchman | Orthopaedic Surgery | 12855 North Forty Drive, Suite 125, St Louis, MO 63141 | 2005-09-20 |
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376551267 | Richard Katz | Physical Medicine & Rehabilitation | 4660 Maryland Ave, Suite 250, St Louis, MO 63108 | 2006-08-04 |
| 1750323028 | Anthony J Margherita | Physical Medicine & Rehabilitation | 555 North New Ballas Rd, Suite 210, St Louis, MO 63141 | 2006-06-12 |
| 1629032081 | Suseela Samudrala Md PC | Physical Medicine & Rehabilitation | 11125 Dunn Road, Suite 311, St Louis, MO 63136 | 2006-04-13 |
| 1932195443 | Sandra L Tate | Physical Medicine & Rehabilitation | 12855 North Forty Drive, Suite 125, St Louis, MO 63141 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718640 | Michael Vincent Pizzato | Physical Medicine & Rehabilitation | 1408 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-07-28 |
| 1255953576 | Haylee Erin Kinney | Physical Medicine & Rehabilitation | 10327 State Highway 6, Green Castle, MO 63544-3350 | 2020-05-08 |
| 1306403357 | Florida Home Health & Therapy | Physical Medicine & Rehabilitation | 11636 W Florissant Ave, Florissant, MO 63033-6723 | 2019-05-24 |
| 1285290288 | Skaggs Community Hospital Association | Physical Medicine & Rehabilitation | 525 Branson Landing Blvd Ste 401, Branson, MO 65616-2064 | 2019-05-15 |
| 1821568569 | Maureen Moore | Physical Medicine & Rehabilitation | 7310 Summertime Dr, Saint Louis, MO 63129-5740 | 2018-11-26 |
| 1942785365 | Frank Quoc Pham | Physical Medicine & Rehabilitation | 5107 Virginia Ave, Kansas City, MO 64110-2517 | 2018-10-02 |
| 1245714112 | Victoria Loving | Physical Medicine & Rehabilitation | 407 Great Hill Dr, Ballwin, MO 63021-6318 | 2018-09-18 |
| 1295225118 | Empower Health Investments LLC | Physical Medicine & Rehabilitation | 111 Ne 91st St, Kansas City, MO 64155-3329 | 2018-05-16 |
| 1255820361 | Soar Medical LLC | Physical Medicine & Rehabilitation | 343 S Kirkwood Rd Ste 250, Kirkwood, MO 63122-4015 | 2018-05-03 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| Find all providers with the same taxonomy | ||||
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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.