GREGORY BARDLEY CERTIFIED PEDORTHIST NPI 1902545858

NPI Information

  • NPI: 1902545858
  • Provider Name: GREGORY BARDLEY, CERTIFIED PEDORTHIST
  • Classification: Pedorthist - 224L00000X
  • Entity Type: Individual
  • Address: 1405 JUNGERMANN RD
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (636) 485-2992

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NPI Details

Gregory Bardley, CERTIFIED PEDORTHIST is a pedorthist in Saint Peters, MO. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. Gregory Bardley, CERTIFIED PEDORTHIST NPI is 1902545858. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1405 JUNGERMANN RD
SAINT PETERS, MO
ZIP 63376-377
Phone: (636) 485-2992

The enumeration date for this NPI number is 5/31/2022 and was last updated on 5/31/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224L00000XPedorthistYes

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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