BRIDGETON EMERGENCY GROUP LLC – NPI #1053660076
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

BRIDGETON EMERGENCY GROUP LLC is a provider located in BRIDGETON, MO. NPPES has assigned the NPI number 1053660076 to BRIDGETON EMERGENCY GROUP LLC on September 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 10 years ago on Jan 14, 2016. 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 BRIDGETON EMERGENCY GROUP LLC below.

NPI Profile for
BRIDGETON EMERGENCY GROUP LLC

NPI Number
1053660076
Enumeration Date

(about 14 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
BRIDGETON EMERGENCY GROUP LLC
Primary location
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone: (800) 893-9698 Fax:
Mailing address
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone: (337) 354-1153 Fax:
Organization Subpart
No
Authorized Official
LISHA FALK
VP OF CONTRACTING
Phone: (800) 893-9698
Updated
Identifiers

Identifiers for BRIDGETON EMERGENCY GROUP LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO1053660076
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
207P00000X
- Emergency Medicine (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

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.