Individual provider · Type 1 NPI

Bruce K. Bieneman, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1740200187 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-4492 Map

Fax (314) 525-4481

Mailing address

11475 Olde Cabin Rd Ste 200
St. Louis, MO 63141-7129

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700X108877 (MO)
Diagnostic Radiology Physician 2085R0202X036101977 (IL)
Diagnostic Radiology Physician 2085R0202XMD-33964 (IA)
Diagnostic Radiology Physician 2085R0202X04-28930 (KS)
Diagnostic Radiology Physician 2085R0202XMD459547 (PA)
Vascular & Interventional Radiology Physician 2085R0204X108877 (MO)
Diagnostic Radiology Physician Primary 2085R0202X108877 (MO)
Diagnostic Radiology Physician 2085R0202X35173 (TN)
Diagnostic Radiology Physician 2085R0202X0101240919 (VA)
Diagnostic Radiology Physician 2085R0202X21052 (WV)

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

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About NPI 1740200187

Bruce K. Bieneman, MD's National Provider Identifier is 1740200187, issued on Jul 20, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Oct 29, 2020.