MATTHEW BRUCKEL M.D. NPI 1942225305

NPI Information

  • NPI: 1942225305
  • Provider Name: MATTHEW BRUCKEL, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 9556 MANCHESTER ROAD
    SAINT LOUIS, MO
    ZIP 63119
  • Phone: (314) 961-2255

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NPI Details

Matthew Bruckel, M.D. is an emergency medicine in Saint Louis, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Matthew Bruckel, M.D. NPI is 1942225305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9556 MANCHESTER ROAD
SAINT LOUIS, MO
ZIP 63119-313
Phone: (314) 961-2255
Fax: (314) 373-5757

The enumeration date for this NPI number is 7/13/2006 and was last updated on 2/28/2011.

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
1207P00000XEmergency MedicineME85875FLORIDANo
2207P00000XEmergency Medicine051440GEORGIANo
3207P00000XEmergency MedicineMD071774LPENNSYLVANIANo
4207P00000XEmergency Medicine2005029371MISSOURIYes

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
1H59596MEDICARE UPIN
2964755198MEDICARE PINMISSOURI
3939703209MEDICARE PINMISSOURI
4200520005MEDICAIDMISSOURI
5939704748MEDICARE PINMISSOURI
6939714740MEDICARE PINMISSOURI
7$$$$$$$$$MEDICAIDILLINOIS

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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