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

Center for Urologic Surgery LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1093230450

Center for Urologic Surgery LLC is an Ambulatory Surgical Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
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

12855 N 40 Dr Ste 100
Saint Louis, MO 63141
Phone: (314) 594-8230
Fax: (314) 594-8246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 289-0 (MO)

Record details

NPI number1093230450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Bradford — Managing Partner · (214) 738-0357
NPI enumeratedAugust 7, 2017
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address913 S Main St Unit 212, Grapevine, TX 76051-7582

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