BRYAN WARNER MD PC NPI 1063741767

NPI Information

  • NPI: 1063741767
  • Provider Name: BRYAN WARNER MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: BODYLOGICMD OF ST. LOUIS
  • Address: 1034 S BRENTWOOD BLVD
    SUITE 516
    SAINT LOUIS, MO
    ZIP 63117
  • Phone: (877) 445-9050

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NPI Details

BRYAN WARNER MD PC is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRYAN WARNER MD PC NPI is 1063741767. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bodylogicmd Of St. Louis.

The provider's business location address is:

1034 S BRENTWOOD BLVD
SUITE 516
SAINT LOUIS, MO
ZIP 63117-223
Phone: (877) 445-9050
Fax: (877) 445-9051

The provider's authorized official is Bryan Warner .
The authorized official title is Director and has the following contact phone number (877) 445-9050.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 12/9/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist2009032163MISSOURIYes

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: 11/21/2025

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