Brad C White in Saint Louis - Urology

Brad C White - NPI 1205810512

Brad C White is a Urology in Saint Louis, Missouri. Brad C White practices all healthcare services and medical treatments related to Urology. The NPI Number for Brad C White is 1205810512. The last update date is 2021-12-01.

Brad C White's current location address is 12855 N 40 Dr, Saint Louis, Missouri. You can contact this provider via phone number 3145676071 and fax number 3145677961. The mailing address for Brad C White is 12855 N 40 Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Brad C White
Address 12855 N 40 Dr, Saint Louis, Missouri
Phone Number 3145676071
Fax Number 3145677961
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205810512
Provider Enumeration Date 2005-11-30
Last Updated Date 2021-12-01

Provider Mailing Address Detail

Address 12855 N 40 Dr
City Saint Louis
State Missouri (MO)
Post Code 631418635
Phone Number 3145676071
Fax Number 3145677961

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 036-097383
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
203832209 MO --

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FAQs about Brad C White

What is the unique identification code assigned to Brad C White by the Centers for Medicare & Medicaid Services?

The Brad C White has been issued the NPI (National Provider Identifier) 1205810512. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Brad C White is geographically located?

The Brad C White is physically situated at the following location: 12855 N 40 Dr, Saint Louis, MO, 631418635.

What is the Brad C White's area of specialization and corresponding taxonomy classification?

The Brad C White's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.

On what date did the Brad C White receive the assignment of its 1205810512 from the Centers for Medicare & Medicaid Services?

The Brad C White was issued its 1205810512 by the Centers for Medicare & Medicaid Services on 2005-11-30.

As of what date were the Brad C White's details last updated?

The information pertaining to the Brad C White, including its address, specialty, and other details, was most recently updated on 2021-12-01.

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