Bradley A Becker

MD | Pediatric Allergy-Immunology | Male

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Complete Profile:

Bradley A Becker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Bradley A Becker
Credential :	MD
Gender :	Male

Business Address:

Bradley A Becker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-268-4014
Fax Number :	314-268-2712

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1609887983
NPI Entity Type :	Individual
First Enrolment Date :	11 Aug, 2006
Last Updated On :	15 Jan, 2021

Medicare Participation:

Bradley A Becker participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1456410778
Medicare Enrollment ID :	I20081031000280
Primary Specialty :	Allergy/immunology
Medical School :	Loyola University Of Chicago, Stritch School Of Medicine
Graduation Year :	1987
Accepts Medicare?	Yes. Bradley A Becker accepts medicare insurance.

Group Practice Association:

Bradley A Becker is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Bradley A Becker is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ssm Health Care Group	0143608372	564	1465 S Grand Blvd Saint Louis, MO - 631041003 Ph: 3145775641	Yes
Ssm Health Care Group	0143608372	564	10101 Woodfield Ln Saint Louis, MO - 631322946 Ph: 6082804647	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley A Becker are as mentioned. Primary taxonomy code for Bradley A Becker, MD is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
207K00000X	Allergy & Immunology	No	106905	MO
208000000X	Pediatrics	No	106905	MO
2080I0007X	Pediatrics Clinical & Laboratory Immunology	No	106905	MO
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	106905	MO

Legacy Identifiers:

Other legacy medical identifiers of Bradley A Becker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
207716200	MEDICAID	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-268-4104
Fax Number :	314-268-2712

Business Location:

Patients can refer following map for directions to Bradley A Becker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.