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BRADLEY A BECKER MD NPI 1609887983


NPI Information

NPI: 1609887983
Provider Name: BRADLEY A BECKER, MD
Classification: Pediatrics - 2080P0201X
Entity Type: Individual

Specialization: Pediatric Allergy/Immunology

PECOS Registration: Yes

Address:
1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 268-4014
Get Directions

Bradley A Becker, MD is a pediatric allergy/immunology pediatrics in Saint Louis, MO with 37 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Bradley A Becker, MD NPI is 1609887983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 268-4014
Fax: (314) 268-2712

The NPI 1609887983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 1/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology106905MISSOURINo
2208000000XPediatrics106905MISSOURINo
32080I0007XPediatricsClinical & Laboratory Immunology106905MISSOURINo
42080P0201XPediatricsPediatric Allergy/Immunology106905MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1207716200MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.