IRON BRIDGE DIABETES & ENDO NPI 1306931423

NPI Information

  • NPI: 1306931423
  • Provider Name: IRON BRIDGE DIABETES & ENDO
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 1135 E LAKEWOOD ST
    SUITE 104
    SPRINGFIELD, MO
    ZIP 65810
  • Phone: (417) 879-6364

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NPI Details

IRON BRIDGE DIABETES & ENDO is an endocrinology and diabetes and metabolism internal medicine in Springfield, MO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. IRON BRIDGE DIABETES & ENDO NPI is 1306931423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1135 E LAKEWOOD ST
SUITE 104
SPRINGFIELD, MO
ZIP 65810-403
Phone: (417) 879-6364
Fax: (417) 879-6368

The provider's authorized official is Ralph J Duda .
The authorized official title is Owner and has the following contact phone number (417) 879-6364.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/17/2008.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000015170OTHERMEDICARE PTAN
2P00266673OTHERMISSOURIRAILROAD MEDICARE PTAN
3460002667OTHERPTAN
416610OTHERBLUE CROSS BLUE SHIELD

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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