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EDWARD W HEIDBRIER MD PC NPI 1720348600


NPI Information

NPI: 1720348600
Provider Name: EDWARD W HEIDBRIER MD PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 26D2052824

Address:
3915 WATSON RD STE 204
SAINT LOUIS, MO
ZIP 63109
Phone: (314) 781-4840
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EDWARD W HEIDBRIER MD PC is a geriatric medicine internal medicine in Saint Louis, MO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. EDWARD W HEIDBRIER MD PC NPI is 1720348600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3915 WATSON RD STE 204
SAINT LOUIS, MO
ZIP 63109-251
Phone: (314) 781-4840
Fax: (314) 781-0285

The provider's authorized official is Edward William Heidbrier .
The authorized official title is President and has the following contact phone number (314) 781-4840.

The CLIA number assigned to this NPI record is 26D2052824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 10/6/2022.


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
1207RG0300XInternal MedicineGeriatric Medicine36756MISSOURIYes

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

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