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

Bridgeton Geriatrics LLC

Organization Family Medicine Physician · NPI 1245652924

Bridgeton Geriatrics LLC is a Family Medicine Physician in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12800 Boenker Ln
Bridgeton, MO 63044-2438
Phone: (314) 551-0338
Fax: (314) 551-0336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 104361 (MO)

Record details

NPI number1245652924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Smith — Owner · (314) 551-0338
NPI enumeratedJanuary 14, 2014
Last updated in NPPESJanuary 14, 2014
Mailing address12800 Boenker Ln, Bridgeton, MO 63044-2438

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