Bridgeton Pain Group
NPI 1114626462ActiveOrganization· General Practice· Bridgeton, MO
General Practice in Bridgeton, Missouri, registered in NPPES in February 2023. The authorized official on file is Mitchell Liberman, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114626462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2023 |
| Last updated in NPPES | Oct 30, 2023 |
| Certified by provider | Oct 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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