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

SSM Medical Group Inc

Organization Family Medicine Physician · NPI 1477564581

SSM Medical Group Inc is a Family Medicine Physician in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12255 De Paul Dr Ste 500
Bridgeton, MO 63044
Phone: (314) 209-5180
Fax: (314) 209-5153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Pulmonary Disease Physician Taxonomy 207RP1001X
Podiatrist Taxonomy 213E00000X (MO)

Record details

NPI number1477564581
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Medical Group Inc
Authorized official Karen Rewerts — Vp Financial Operations · (314) 989-2034
Other names Ssm Health Medical Group
NPI enumeratedAugust 11, 2006
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address3221 McKelvey Rd Ste 301, Bridgeton, MO 63044-2551

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