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

Bridgeton Pain Group

Organization General Practice Physician · NPI 1114626462

Bridgeton Pain Group is a General Practice Physician in Bridgeton, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

11520 Saint Charles Rock Rd Ste 201
Bridgeton, MO 63044
Phone: (314) 526-6093
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1114626462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Liberman — President · (314) 526-6093
NPI enumeratedFebruary 27, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address11520 Saint Charles Rock Rd Ste 201, Bridgeton, MO 63044-2732

Other providers in Bridgeton