NPIMap

Individual provider Active NPI

Richard Allan Bligh, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1306813050
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD102881 Issued in MO
Practice address
1000 Des Peres Rd Ste 118
Saint Louis, MO 63131-2064
Phone
(314) 994-1536
Fax
(314) 692-0241
NPI assigned
Mar 1, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD102881 MO Primary

Addresses

Primary practice location

1000 Des Peres Rd Ste 118
Saint Louis, MO 63131-2064

Mailing address

1000 Des Peres Rd Ste 118
Saint Louis, MO 63131-2064
Phone (314) 994-1536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102881MOMDEmergency Medicine Physician
MD102881MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of St. Luke's, LLC Internal Medicine Past Accepting new patients
Clinic of Internal Medicine, LLC Internal Medicine Past Accepting new patients
St. Louis Center of Preventitive & Longevity Medicine, LLC Internal Medicine Past Accepting new patients
Hospitalmd of Troy, Inc. Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1306813050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312064",
            "telephone_number": "314-994-1536",
            "fax_number": "314-692-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312064",
            "telephone_number": "314-994-1536",
            "fax_number": "314-692-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIGH",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD102881",
            "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 Feb 6, 2024; 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.