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 |
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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 |
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Provider Enumeration Date | 2005-11-30 |
Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
Address | 12855 N 40 Dr |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631418635 |
Phone Number | 3145676071 |
Fax Number | 3145677961 |
Provider's Primary Taxonomy Detail
Speciality | Urology |
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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 |
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203832209 | MO | -- |
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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.