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Contact Information

BERWALD SURGICAL MEDICAL INC
3478 BRIDGELAND DR
STE 2
BRIDGETON, MO63044-2619
 Phone: 314-739-8200
 Fax: 314-739-8261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BERWALD SURGICAL MEDICAL INC

NPI Number 1548345838
LBN Legal business name BERWALD SURGICAL MEDICAL INC
Authorized official BRUCE BERWALD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # 114322
Other 2635653 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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