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

Timothy James Pratt, MD

Individual provider Internal Medicine Physician · NPI 1104872068

Timothy James Pratt, MD is an Internal Medicine in Fenton, Missouri. Graduated from Tulane University School of Medicine in 1983, 43 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
43
Trained at
Tulane University School of Medicine
Licensed in
MO
In the registry since
2006
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

1011 Bowles Ave Ste 121
Fenton, MO 63026
Phone: (314) 766-2066
Fax: (636) 326-1802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R9E55 (MO)

Record details

NPI number1104872068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2006
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing addressPo Box 220375, Kirkwood, MO 63122-0375

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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