Blue Bayou Service Inc
NPI 1144577305ActiveOrganization· General Practice· Saint Louis, MO
General Practice in Saint Louis, Missouri, registered in NPPES in August 2012. The authorized official on file is William Bronson, Ceo.
Overview
| NPI | 1144577305 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2012 |
| Last updated in NPPES | Sep 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 12345 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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