National Provider Identifier Database

BRADLEY A BECKER, MD – NPI #1609887983
Pediatric Allergy/Immunology


Contact Information

BRADLEY A BECKER, MD
1465 S GRAND BLVD
SAINT LOUIS, MO63104-1003
Phone: 314-268-4014
Fax: 314-268-2712
Website:
Specialty Taxonomy Code
* Pediatric Allergy/Immunology 2080P0201X
Allergy & Immunology 207K00000X
Clinical & Laboratory Immunology 2080I0007X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for BRADLEY A BECKER

NPI Number 1609887983
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 01/15/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 106905
  • MO Medicaid: 207716200
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BRADLEY A BECKER, MD

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