Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatrix Medical Group

Organization Neonatal-Perinatal Medicine Physician · NPI 1235168980

Pediatrix Medical Group provides Neonatal-Perinatal Medicine Physician services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

621 S New Ballas Rd Ste 2016B
Saint Louis, MO 63141-8232
Phone: (314) 251-5860
Fax: (314) 251-5861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 2000169319 (MO)

Record details

NPI number1235168980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Brenner — Director · (314) 251-5860
NPI enumeratedJuly 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address621 S New Ballas Rd, Suite 2016b, Saint Louis, MO 63141-8232

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