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

SSM Medical Group

Organization Family Medicine Physician · NPI 1275781288

SSM Medical Group provides Family Medicine Physician services in Fenton, Missouri. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1011 Bowles Ave Ste 300
Fenton, MO 63026-2387 Not confirmed with CMS for 17 years — call before visiting
Phone: (636) 496-5000
Fax: (636) 496-5055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275781288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Bieser — Executive Director · (314) 822-5900
Other names Family Practice Of South County
NPI enumeratedSeptember 3, 2008
Last updated in NPPESJuly 8, 2009
Mailing address10777 Sunset Office Dr, Suite 310, Saint Louis, MO 63127-1019

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