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

SSM Depaul Medical Group, Inc

Organization Family Medicine Physician · NPI 1174636575

SSM Depaul Medical Group, Inc provides Family Medicine Physician services in Bridgeton, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12255 De Paul Dr Ste 600
Bridgeton, MO 63044-2510
Phone: (314) 291-1074
Fax: (314) 291-0802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174636575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Pullum — Director Of Patient Accounts · (314) 209-8121
Other names Family Care Physicians
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12255 De Paul Dr, Suite 600, Bridgeton, MO 63044-2510

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