Active NPI
Gawa Bidla, MD
- Prescribing (Medical) Psychologist
- Saint Louis, MO
National Provider Identifier
1215831417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 2026031408
- Practice address
- 509 S Euclid Ave
Saint Louis, MO 63110-1007 - Phone
- (314) 362-5127
- NPI assigned
- Oct 3, 2026
- Last updated
- Oct 3, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | 2026031408 | MO | Primary |
Addresses
Primary practice location
509 S Euclid Ave
Saint Louis, MO 63110-1007
Mailing address
509 S Euclid Ave
Saint Louis, MO 63110-1007
Phone (314) 747-8159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790985600000",
"number": "1215831417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101007",
"telephone_number": "314-747-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101007",
"telephone_number": "314-362-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDLA",
"first_name": "GAWA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-03",
"last_updated": "2026-10-03",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "MO",
"license": "2026031408",
"primary": true
}
],
"identifiers": [],
"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 Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.