Peter V Bettonville, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R7B20 Issued in MO

Practice address

3844 S Lindbergh Blvd.
Suite 160
St. Louis, MO 63127

Phone

(314) 698-2500

Fax

(314) 698-2323

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pbettonville326289@directc.mercy.net

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.

• Kirkwood Medical Group LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1699828327
  NPD (past)
• SSM Health Care St. Louis

  • Emergency Medicine Physician
  • Saint Charles, MO
  • NPI 1427002922

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1144273657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD.",
            "address_2": "SUITE 160",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-698-2500",
            "fax_number": "314-698-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD.",
            "address_2": "SUITE 160",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-698-2500",
            "fax_number": "314-698-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTONVILLE",
        "first_name": "PETER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R7B20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01134505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Start LLC
• Better Than Before Sober Living
• Better to Best Home Health
• Bettercare Mo LLC
• Laurie L Bettlach, PA
• Kyle Betts, D.O.
• Kyra Betts
• Betty Jean Kerr People'S Health Center
• Betty Jean Kerr People'S Health Centers
• Betty Jean Kerr People'S Health Centers

• Internal Medicine Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.