Active NPI
Bradley K Baker, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 36777
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (314) 525-4492
- Fax
- (314) 525-4481
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 21050 | WV | |
| Diagnostic Radiology Physician | 2085R0202X | MD459606 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 45140-20 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 0429898 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | 0101241014 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 37085 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 036077113 | IL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 36777 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 36777 | MO | Primary |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone (314) 991-8200
Other practice location 1
14783 Schoettler Grove Ct
Chesterfield, MO 63017-7973
Phone (314) 703-5301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q050730 | Medicaid | TN | |
| 202936027 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, PA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040218000422 | MO | Practitioner - Interventional Radiology | 8224923362 | Reassigns benefits to 9 organizations |
| I20170721001919 | PA | Practitioner - Diagnostic Radiology | 8224923362 | Reassigns benefits to 3 organizations |
| I20230120001295 | TN | Practitioner - Diagnostic Radiology | 8224923362 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Missouri, Columbia School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West County Radiological Group IncMissouri Delta Medical CenterSurgical Institute of Reading LLCVanderbilt University Medical CenterSavannah Chatham Imaging LLCMemphis Physicians Radiological Group PCUSA Radiology of Pennsylvania LLCUSA Radiology Management Solutions LLC
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1165
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
11 Fairlane Rd
Reading, PA 19606-9567
Phone (610) 378-8810
1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000
1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-1055
14783 Schoettler Grove CT
Chesterfield, MO 63017-7973
Phone (615) 322-5000
2752 Century Blvd
Wyomissing, PA 19610-3345
Phone (610) 372-8031
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191
607 S New Ballas Rd
Saint Louis, MO 63141-8222
Phone (314) 251-6844
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5140
946 E Reed
Hayti, MO 63851
Phone (314) 821-8055
946 E Reed St Radiology Department
Pemiscot Memorial Hospital
Hayti, MO 63851-1243
Phone (573) 359-1372
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
- West Tennessee Healthcare Henry County Hospital
- Mercy Hospital Jefferson
- Phelps County Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036077113 | IL | MD | Diagnostic Radiology Physician |
| 0429898 | KS | MD | Diagnostic Radiology Physician |
| 36777 | MO | MD | Diagnostic Radiology Physician |
| MD459606 | PA | MD | Diagnostic Radiology Physician |
| 37085 | TN | MD | Diagnostic Radiology Physician |
| 0101241014 | VA | MD | Diagnostic Radiology Physician |
| 45140-20 | WI | MD | Diagnostic Radiology Physician |
| 21050 | WV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pemiscot County Memorial Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Pemiscot County Memorial Hospital | Current | Accepting new patients | |
| Savannah Chatham Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Vanderbilt University Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| USA Radiology of Pennsylvania, LLC | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Surgical Institute of Reading LLC | Diagnostic Radiology | Current | Accepting new patients |
| West County Radiological Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Lauderdale Community Hospital LLC | Past | Accepting new patients |
Locations
Dept AT 40379
Atlanta, GA 31192
Dept A T 40379
Atlanta, GA 31192
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
10 Little Brook Rd
West Wareham, MA 02576
16091 Swingley Ridge Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 728-2222
946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688
11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
300 Wanda St
Marietta, OK 73448
Phone (580) 276-2400
965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641
5515 Peach St
Erie, PA 16509
Phone (814) 864-4031
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
Organizations & group practices 42
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.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
Diagnostic Radiology, MO, TN
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1992721278
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Wyomissing, PA
- NPI 1144781451
Diagnostic Radiology, PA
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Diagnostic Radiology, MO, TN
-
- Rural Health Clinic/Center
- Sikeston, MO
- NPI 1013236421
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
Hospital
-
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1093790487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 OLDE CABIN RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417129",
"telephone_number": "314-991-8200",
"fax_number": "314-991-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-4492",
"fax_number": "314-525-4481"
}
],
"practiceLocations": [
{
"address_1": "14783 Schoettler Grove Ct",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630177973",
"country_code": "US",
"telephone_number": "314-703-5301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "BRADLEY",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "21050",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD459606",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "45140-20",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "0429898",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101241014",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "37085",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036077113",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MO",
"license": "36777",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "36777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q050730",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202936027",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.