Stephen R Braddock, MD
Stephen R Braddock, MD is a Medical Genetics and Genomics in St. Louis, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 1984, 42 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 42
- Trained at
- University of Missouri, Columbia School of Medicine
- Licensed in
- MO
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1465 S Grand BlvdSt. Louis, MO 63104-1003
Phone: (314) 577-5639
Fax: (314) 268-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Genetics (M.D.) Physician (primary) | Taxonomy 207SG0201X · Licence 106085 (MO) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence MD106085 (MO) |
Record details
| NPI number | 1811934490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 1, 2006 |
| Last updated in NPPES | January 15, 2021 |
| Certification date | January 15, 2021 |
| Mailing address | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
Medicare enrollment
| Medicare specialty | MEDICAL GENETICS AND GENOMICS |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduated | 1984 (42 years in practice) |
| Group practice | Ssm Health Care Group — 923 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in St. Louis
-
Craig W Belsha, MD
1465 S Grand Blvd, St. Louis, MO 63104-1003 · (314) 577-5662
-
Deepika Bhatla, MD
1465 S Grand Blvd, St. Louis, MO 63104-1003 · (314) 268-4000
-
Dr. Miriam Blumenthal, MD
Wusm Peds 1 Childrens Pl Msc 8116-0043-08, St. Louis, MO 63110 · (314) 454-6095
-
Emra Bosnjak
Wusm Peds 1 Childrens Pl Msc 8116-0043-09, St. Louis, MO 63110 · (314) 728-1896
-
Dr. Colleen N Braun, DO
1465 S Grand Blvd, St. Louis, MO 63104-1003 · (314) 268-4101
-
Dr. Nazlican Civilibal Tang, MD
Wusm Peds 1 Childrens Pl Msc 8208-0016-06, St. Louis, MO 63110 · (314) 454-6124
-
Dr. Julie R Ferguson, DO
1465 S Grand Blvd, St. Louis, MO 63104 · (314) 577-5360
-
Robert E Fleming, MD
1465 S Grand Blvd, St. Louis, MO 63104-1003 · (314) 577-5663