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

Bruce K Bieneman, MD

Individual provider Neuroradiology Physician · NPI 1740200187

Bruce K Bieneman, MD is a Diagnostic Radiology in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 1995, 31 years ago. Practices with West County Radiological Group Inc, a 105-clinician group and accepts Medicare assignment. Licensed in Iowa, Illinois, Kansas and Missouri and 4 more.

Years since qualifying
31
Trained at
Saint Louis University School of Medicine
Licensed in
IA, IL, KS, MO, PA, TN
In the registry since
2006
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-4492
Fax: (314) 525-4481
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 108877 (MO)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 108877 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036101977 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD-33964 (IA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 04-28930 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD459547 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 108877 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35173 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101240919 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 21052 (WV)

Record details

NPI number1740200187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice West County Radiological Group Inc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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