Ssm Depaul Medical Group, Inc.
NPI 1003929407ActiveOrganization· Family Medicine· Bridgeton, MO
Family Medicine in Bridgeton, Missouri, registered in NPPES in August 2006. The authorized official on file is Laura Lynn Pullum, Director Of Patient Accounts.
Overview
| NPI | 1003929407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 18 family medicine physicians in Bridgeton · All family medicine physicians in Missouri