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Search › Missouri › 2085R0202X

Bruce Bieneman, MD

NPI 1740200187 · on the registry since 2006

Practice

Address
10010 Kennerly Rd
Saint Louis, MO 63128
Phone
(314) 525-4492
Fax
(314) 525-4481
Organisation at this address
Cep America Llc
Cep America, Llc
E. Sutphen Md Llc
Serio Missouri Llc
Mercy Hospital South
Inferred from a shared address, not stated in the registry.
Clinicians at this address
376

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085N0700X
2085R0202X
2085R0202X
2085R0202X
2085R0202X
2085R0204X
2085R0202X
2085R0202X
2085R0202X
Licence states on file
MO, IL, IA, KS, PA, TN, VA, WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri