Individual provider · Type 1 NPI

Modupe Adedamola Aderibigbe, D.P.M.

Podiatrist · St. Louis, MO

NPI number 1407092927 Active

Practice location

401 Holly Hills Ave
St. Louis, MO 63111-2410

Call (314) 353-5190 Map

Fax (314) 353-7631

Mailing address

3824 S Grand Blvd
St. Louis, MO 63118-3412

Other practice locations

  • 3824 S Grand Blvd, St. Louis, MO 63118-3412 · (314) 814-8180
  • 4352 Manchester Ave, St. Louis, MO 63110-2138 · (314) 531-5444

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X016005470 (IL)
Podiatrist Primary 213E00000X2011018632 (MO)
Primary Podiatric Medicine Podiatrist 213EP1101X5901002232 (MI)
Foot & Ankle Surgery Podiatrist 213ES0103X5901002232 (MI)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1407092927

Modupe Adedamola Aderibigbe, D.P.M.'s National Provider Identifier is 1407092927, issued on Jan 6, 2009. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 11, 2026.