Becker, Bradley A

Becker, Bradley A is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Becker, Bradley A can be contacted via phone (314) 268-4014.

Contact Information

Primary practice address
1465 S Grand Blvd Saint Louis MO 63104-1003
Phone: (314) 268-4014
Fax: (314) 268-2712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 106905 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 106905 Missouri
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 2080I0007X 106905 Missouri
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 106905 Missouri

Profile Details

NPI number 1609887983
LBN Legal business name Becker, Bradley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609887983 NPPES
Missouri MEDICAID 207716200

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