ADVANTAGE PAIN MANAGEMENT INC NPI 1770715906

NPI Information

  • NPI: 1770715906
  • Provider Name: ADVANTAGE PAIN MANAGEMENT INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 11903 SAINT CHARLES ROCK RD
    BRIDGETON, MO
    ZIP 63044
  • Phone: (314) 770-0900

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NPI Details

ADVANTAGE PAIN MANAGEMENT INC is a general practice in Bridgeton, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADVANTAGE PAIN MANAGEMENT INC NPI is 1770715906. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11903 SAINT CHARLES ROCK RD
BRIDGETON, MO
ZIP 63044-623
Phone: (314) 770-0900
Fax: (314) 770-1623

The provider's authorized official is H. Kenneth Gilbertson .
The authorized official title is Owner and has the following contact phone number (314) 739-2900.

The enumeration date for this NPI number is 8/21/2009 and was last updated on 2/25/2013.

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
1111N00000XChiropractor003647MISSOURINo
2208D00000XGeneral PracticeYes
3247200000XTechnician, OtherNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5363AM0700XPhysician AssistantMedicalNo

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
16619000001MEDICARE NSCMISSOURI
2MA1995MEDICARE PINMISSOURI

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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