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

Bonne Terre Medical Associates, PC

Organization Primary Care Clinic/Center · NPI 1366521429

Bonne Terre Medical Associates, PC is a Primary Care Clinic/Center in Bonne Terre, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 N Allen St
Bonne Terre, MO 63628-1210
Phone: (573) 358-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 36676 (MO)

Record details

NPI number1366521429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Mullen — President · (573) 358-3343
NPI enumeratedNovember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address30 N Allen St, Bonne Terre, MO 63628-1210