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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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
1	224L00000X	Pedorthist				Yes

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: 5/5/2024

NPI Synchronization or Removal

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