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

Dr. Randall C Edgell, MD

Individual provider Vascular Neurology Physician · NPI 1912097817

Dr. Randall C Edgell, MD is a Neurology in Saint Louis, Missouri. Graduated from Baylor College of Medicine in 2000, 26 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
26
Trained at
Baylor College of Medicine
Licensed in
IL, MO
In the registry since
2006
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

1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 977-4864
Fax: (314) 977-4878
Show map & directions

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

Additional practice locations (3)

  • 301 N 8th St, Springfield, IL 62701-1041 — (217) 528-7541
  • 421 N 9th St, Springfield, IL 62702-5317 — (217) 757-6867
  • 3801 S National Ave, Springfield, MO 65807-5210 — (000) 000-0000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 036145444 (IL)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 2007015340 (MO)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 036145444 (IL)

Record details

NPI number1912097817
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesINTERVENTIONAL RADIOLOGY, VASCULAR SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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