Bruce K Bieneman in Saint Louis - Neuroradiology
Bruce K Bieneman - NPI 1740200187
Bruce K Bieneman is a Neuroradiology in Saint Louis, Missouri. Bruce K Bieneman practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Bruce K Bieneman is 1740200187. The last update date is 2020-10-29.
Bruce K Bieneman's current location address is 11475 Olde Cabin Rd Ste 200, Saint Louis, Missouri. You can contact this provider via phone number 3149918200 and fax number 3149918206. The mailing address for Bruce K Bieneman is 11475 Olde Cabin Rd Ste 200, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bruce K Bieneman |
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Address | 11475 Olde Cabin Rd Ste 200, Saint Louis, Missouri |
Phone Number | 3149918200 |
Fax Number | 3149918206 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1740200187 |
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Provider Enumeration Date | 2006-07-20 |
Last Updated Date | 2020-10-29 |
Provider Mailing Address Detail
Address | 11475 Olde Cabin Rd Ste 200 |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631417129 |
Phone Number | 3149918200 |
Fax Number | 3149918206 |
Provider's Primary Taxonomy Detail
Speciality | Neuroradiology |
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Taxonomy | 2085N0700X |
Licence No | 108877 |
Definition: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
366644640 | IL | -- | |
203935416 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce K Bieneman by the Centers for Medicare & Medicaid Services?
The Bruce K Bieneman has been assigned the NPI (National Provider Identifier) 1740200187. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bruce K Bieneman is physically located?
The Bruce K Bieneman is situated at the following address: 11475 Olde Cabin Rd Ste 200, Saint Louis, MO 631417129.
What is Bruce K Bieneman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce K Bieneman's area of specialization is Neuroradiology, and the corresponding taxonomy code that categorizes this field of practice is 2085N0700X.
On what date did the Bruce K Bieneman receive its 1740200187 assignment from the Centers for Medicare & Medicaid Services?
The Bruce K Bieneman was assigned its 1740200187 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the details related to Bruce K Bieneman most recently updated or revised?
The information pertaining to Bruce K Bieneman, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-29.