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

Shannon J Potter, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1700106853

Shannon J Potter, MD is an Obstetrics/Gynecology in Bridgeton, Missouri. Graduated from University of Texas Medical School at San Antonio in 2010, 16 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Trained at
University of Texas Medical School at San Antonio
Licensed in
MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3466 McKelvey Rd
Bridgeton, MO 63044-2533
Phone: (314) 463-6950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6420 Clayton Rd, Saint Louis, MO 63117-1811 — (314) 781-4772

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2010017998 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700106853
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2010
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2010 (16 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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