Individual provider Active NPI

Valerie O Walker, M.D.

  • Adult Medicine Physician
  • Bridgeton, MO
National Provider Identifier
1083784375
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R9B43 Issued in MO
Practice address
3444 McKelvey Rd
Bridgeton, MO 63044-2525
Phone
(314) 968-0700
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X R9B43 MO Primary

Addresses

Primary practice location

3444 McKelvey Rd
Bridgeton, MO 63044-2525

Mailing address

PO Box 10991
Saint Louis, MO 63135-0991

Other identifiers 2

IdentifierTypeStateIssuer
201613049MedicaidMO
003138081AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000408 MO Practitioner - Family Practice 3274524624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9B43MOMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Research and Education in Family Medicine Family Medicine PastSince Dec 17, 2023 Accepting new patients
Vpa PC Family Medicine Past Accepting new patients
Vpa PC Family Medicine PastSince Apr 28, 2024 Accepting new patients
SSM Depaul Medical Group, Inc. Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: valerie.walker@oconeeregional.gadirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1083784375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10991",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631350991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442525",
            "telephone_number": "314-968-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VALERIE",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "R9B43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201613049",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003138081A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.