Basic Information
| Provider Information | |||||||||
| NPI: | 1639423742 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BJSPH PHYSICIAN BILLING SERVICES, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BENRUS SURGICAL AT BARNES-JEWISH ST. PETERS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | SAINT PETERS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 633761659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6369169000 | ||||||||
| FaxNumber: | 6369169164 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 JUNGERMANN CIR | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | SAINT PETERS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 633761621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6364412122 | ||||||||
| FaxNumber: | 6364415290 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2012 | ||||||||
| LastUpdateDate: | 03/25/2021 | ||||||||
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| AuthorizedOfficialLastName: | CALDER | ||||||||
| AuthorizedOfficialFirstName: | GINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6369169401 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| NPICertificationDate: | 03/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.