Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

SSM Depaul Health Center

Organization Podiatric Assistant · NPI 1093155905

SSM Depaul Health Center provides Podiatric Assistant services in Bridgeton, Missouri. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

12303 De Paul Dr
Bridgeton, MO 63044-2512 Not confirmed with CMS for 13 years — call before visiting
Phone: (314) 334-6971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatric Assistant (primary) Taxonomy 211D00000X

Record details

NPI number1093155905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Moore — Vice President Of Academic Affairs · (314) 334-6971
NPI enumeratedJune 25, 2013
Last updated in NPPESJune 25, 2013
Mailing address12303 Depaul Drive, Bridgeton, MO 63044