DEPAUL MEDICAL GROUP NEUROSURGERY – NPI #1154434736
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

DEPAUL MEDICAL GROUP NEUROSURGERY is a neurological surgeon located in BRIDGETON, MO. NPPES has assigned the NPI number 1154434736 to DEPAUL MEDICAL GROUP NEUROSURGERY on August 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEPAUL MEDICAL GROUP NEUROSURGERY” is a dba name, the actual legal business name for this organization is SSM DEPAUL MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207T00000X from the Health Care Provider Taxonomy code set, which is classified as Neurological Surgery.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 DEPAUL MEDICAL GROUP NEUROSURGERY below.

NPI Profile for
SSM DEPAUL MEDICAL GROUP, INC.

NPI Number
1154434736
Enumeration Date

(about 20 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
SSM DEPAUL MEDICAL GROUP, INC.
Doing Business As (dba): DEPAUL MEDICAL GROUP NEUROSURGERY
Primary location
12255 DE PAUL DR
SUITE 830
BRIDGETON, MO 63044-2510
Phone: (314) 291-6556 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURA PULLUM
DIRECTOR OF PATIENT ACCOUNTS
Phone: (314) 209-8121
Updated
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
207T00000X
- Neurological Surgery (Primary)

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.