BRADLEY K. BAKER M.D. – NPI #1093790487
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

BRADLEY BAKER is a radiologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1093790487 to BRADLEY BAKER on December 08, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Jul 22, 2025. 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 BRADLEY BAKER below.

NPI Profile for
BRADLEY K. BAKER

NPI Number
1093790487
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRADLEY K. BAKER
Credentials
M.D.
Primary location
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone: (314) 525-4492 Fax: (314) 525-4481
1 Other location(s):
14783 Schoettler Grove Ct
Chesterfield, MO 63017-7973
Phone: (314) 703-5301
Mailing address
11475 OLDE CABIN RD STE 200
SAINT LOUIS, MO 63141-7129
Phone: (314) 991-8200 Fax: (314) 991-8206
Sole Proprietor
No
Updated
Certification Date
Jul 22, 2025

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.

Identifiers

Identifiers for BRADLEY BAKER

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
medicaidMO202936027
medicaidTNQ050730
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 WV 21050
2085R0204X
- Radiology / Vascular & Interventional Radiology		 MO 36777

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.

Additional Information

Education
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE - Graduated 1985
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BRADLEY BAKER is affiliated with the following medical group(s):
  • HOSPITAL
    • MACON COMMUNITY HOSPITAL
      204 MEDICAL DRIVE
      LAFAYETTE, TN 37083
    • MERCY HOSPITAL SOUTH
      10010 KENNERLY ROAD
      SAINT LOUIS, MO 63128
    • PHELPS COUNTY REGIONAL MEDICAL CENTER
      1000 W 10TH ST
      ROLLA, MO 65401
    • SALEM MEMORIAL DISTRICT HOSPITAL
      PO BOX 774,
      SALEM, MO 65560
    • TEXAS COUNTY MEMORIAL HOSPITAL
      1333 SAM HOUSTON BOULEVARD
      HOUSTON, MO 65483

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