Dr. Bradley Terrill Thach
MD | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Bradley Terrill Thach, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Bradley Terrill Thach is
1 Childrens Pl, Saint Louis, Missouri - 63110-1002. He can be contacted on phone at
314-454-6148 and fax number 314-454-4633.
Dr. Bradley Terrill Thach is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bradley Terrill Thach is
1215955737 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 21 Nov, 2012.
Dr. Bradley Terrill Thach license number is
R7332 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Missouri.
Dr. Bradley Terrill Thach is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Bradley Terrill Thach basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Bradley Terrill Thach |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Bradley Terrill Thach 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 : | 1 Childrens Pl
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6148 |
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| Fax Number : | 314-454-4633 |
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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 : | 1215955737 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 21 Nov, 2012 |
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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 Dr. Bradley Terrill Thach are as mentioned. Primary taxonomy code for Dr. Bradley Terrill Thach, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | R7332 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bradley Terrill Thach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| $$$$$$$$$ | MEDICAID | IL | |
| 195010381 | MEDICAID | MO | |
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 : | 1 Childrens Pl, C B 8116
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6148 |
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| Fax Number : | 314-454-4633 |
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Business Location:
Patients can refer following map for directions to
Dr. Bradley Terrill Thach 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.