CENTER FOR UROLOGIC SURGERY LLC – NPI #1093230450
Clinic/Center

CENTER FOR UROLOGIC SURGERY LLC is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1093230450 to CENTER FOR UROLOGIC SURGERY LLC on August 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Aug 30, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR UROLOGIC SURGERY LLC below.

NPI Profile for
CENTER FOR UROLOGIC SURGERY LLC

NPI Number
1093230450
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER FOR UROLOGIC SURGERY LLC
Primary location
12855 N 40 DR STE 100
SAINT LOUIS, MO 63141
Phone: (314) 594-8230 Fax: (314) 594-8246
Mailing address
913 S MAIN ST UNIT 212
GRAPEVINE, TX 76051-7582
Phone: (817) 329-4611 Fax:
Organization Subpart
No
Authorized Official
CHARLES BRADFORD
MANAGING PARTNER
Phone: (214) 738-0357
Updated
Certification Date
Aug 30, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MO 289-0

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.