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

Dr. Grant Watson Gerdelman, MD

Individual provider Emergency Medicine Physician · NPI 1215292933

Dr. Grant Watson Gerdelman, MD is an Emergency Medicine in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2012, 14 years ago. Practices with Ahs Il Medical Group LLC, a 46-clinician group. Licensed in Illinois and Missouri.

Years since qualifying
14
Trained at
Saint Louis University School of Medicine
Licensed in
IL, MO
In the registry since
2012
Specialties on file
3
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

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 577-8780
Fax: (314) 577-8516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.143211 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2012023082 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215292933
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2012
Last updated in NPPESJuly 25, 2017

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Ahs Il Medical Group Llc — 46 clinicians
Accepts Medicare assignment Not indicated

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