Bridgeton Emergency Group LLC
Bridgeton Emergency Group LLC is a healthcare organization registered as Emergency Medicine Physician in Bridgeton, MO, holding Type 2 (organization) NPI 1053660076 since 2012. The authorized official on file is Lisha Falk, Vp of Contracting.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053660076 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bridgeton Emergency Group LLC |
| Practice address | 12303 DE PAUL DR, Bridgeton, MO, 63044 |
| Phone | 8008939698 |
| Enumeration date | 2012-09-05 |
| Last updated in NPPES | 2016-01-14 |
Authorized official
| Name | Lisha Falk |
|---|---|
| Title | Vp of Contracting |
| Phone | 8008939698 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053660076 | Medicaid | MO | — |
Copy-ready billing details
Provider: Bridgeton Emergency Group LLC NPI: 1053660076 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 12303 DE PAUL DR, Bridgeton, MO, 63044
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114917374 | Northwest Anesthesia Ltd | Organization | Anesthesiology Physician | Bridgeton, MO |
| 1659361715 | Alan Schneider | Individual | Anesthesiology Physician | Bridgeton, MO |
| 1588654651 | Marcellus Lawrence | Individual | Anesthesiology Physician | Bridgeton, MO |
| 1699766709 | Vijayalakshmi Vallurupalli | Individual | Anesthesiology Physician | Bridgeton, MO |
| 1306837414 | Isabel Perez | Individual | Anesthesiology Physician | Bridgeton, MO |
| 1376516302 | Radhika Jaladi | Individual | Internal Medicine Physician | Bridgeton, MO |
| 1124091145 | Mouner Salem | Individual | Internal Medicine Physician | Bridgeton, MO |
| 1558334573 | Sriram Vissa | Individual | Internal Medicine Physician | Bridgeton, MO |
Verify this record
Cross-check NPI 1053660076 against the authoritative CMS record: view Bridgeton Emergency Group LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bridgeton Emergency Group LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-01-14.