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Bridgeton Geriatrics LLC

Family Medicine Physician in Bridgeton, MO · enumerated 2014 · authorized official David Smith, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245652924

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Registry record

Entity type Organization (Type 2)
Legal business name Bridgeton Geriatrics LLC
Practice address 12800 Boenker Ln, Bridgeton, MO, 63044
Fax (314) 551-0336
Enumeration date Jan 14, 2014
Last updated in NPPES Jan 14, 2014

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 104361 (MO) Primary

Authorized official

Name David Smith
Title Owner

Other identifiers

Identifier Type State Issuer
2083138069 Medicaid MO -

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.

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Frequently asked questions

What is the NPI number for Bridgeton Geriatrics LLC?
The NPI for Bridgeton Geriatrics LLC is 1245652924, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bridgeton Geriatrics LLC?
NPPES lists David Smith (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-14.