Individual provider Active NPI

Bradley K Baker, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1093790487
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36777 Issued in MO
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

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q050730MedicaidTN
202936027MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, PA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040218000422 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic 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 RadiologyAlso: Diagnostic 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 IncGroup PAC ID 8527966944, 105 clinicians
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Surgical Institute of Reading LLCGroup PAC ID 5890899959, 7 clinicians
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Savannah Chatham Imaging LLCGroup PAC ID 6800890245, 32 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians
USA Radiology of Pennsylvania LLCGroup PAC ID 0345594388, 22 clinicians
USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians

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 Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036077113ILMDDiagnostic Radiology Physician
0429898KSMDDiagnostic Radiology Physician
36777MOMDDiagnostic Radiology Physician
MD459606PAMDDiagnostic Radiology Physician
37085TNMDDiagnostic Radiology Physician
0101241014VAMDDiagnostic Radiology Physician
45140-20WIMDDiagnostic Radiology Physician
21050WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pemiscot County Memorial Hospital CurrentSince Mar 1, 2021 Accepting new patients
Titusville Area Hospital Current Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Mar 1, 2021 Accepting new patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
USA Radiology of Pennsylvania, LLC CurrentSince Sep 11, 2018 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Surgical Institute of Reading LLC Diagnostic Radiology CurrentSince Mar 17, 2020 Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Dec 18, 2022 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.

View all 42

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.