Benrus Surgical Associates, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BENRUS SURGICAL ASSOCIATES, INC.

Practice address

6 Jungermann Cir
Suite 205
Saint Peters, MO 63376-1625

Phone

(636) 441-2122

Fax

(636) 441-5290

NPI assigned

Aug 20, 2006

Last updated

Jul 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Bergmann, MDNPI 1548238751

Title

President

Phone

(636) 441-2122

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Joseph Bergmann, MD

  • Surgery Physician
  • Saint Peters, MO
  • NPI 1548238751
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1255446241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 205",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761625",
            "telephone_number": "636-441-2122",
            "fax_number": "636-441-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 205",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761625",
            "telephone_number": "636-441-2122",
            "fax_number": "636-441-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENRUS SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-441-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501880801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Benack, NP
• Bailey Benes
• Rebecca A Benes, LCSW
• Bethany Bennett, LPC
• Brian William Bennett, CRNA
• Susan Berberich
• Gregory Todd Berg, DDS
• Parker Steven Berg, O.D.
• Carol Berger, DNP, APRN, FNP-C
• Daniel Joseph Bergmann, MD

• Surgery Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.