Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Bayou Service Inc

Organization General Practice Physician · NPI 1144577305

Blue Bayou Service Inc is a General Practice Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1310 Papin St
Saint Louis, MO 63103-3132
Phone: (314) 502-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 12345 (MO)

Record details

NPI number1144577305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bronson — Ceo · (314) 502-1300
NPI enumeratedAugust 7, 2012
Last updated in NPPESSeptember 18, 2012
Mailing address1310 Papin St, Saint Louis, MO 63103-3132

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