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

Pediatrix Medical Group

Organization Neonatal-Perinatal Medicine Physician · NPI 1235168980

Pediatrix Medical Group is a Neonatal-Perinatal Medicine Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

621 S New Ballas Rd Ste 2016B
Saint Louis, MO 63141-8232
Phone: (314) 251-5860
Fax: (314) 251-5861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 2000169319 (MO)

Record details

NPI number1235168980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Brenner — Director · (314) 251-5860
NPI enumeratedJuly 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address621 S New Ballas Rd, Suite 2016b, Saint Louis, MO 63141-8232

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