Active NPI
Robert Donald Bale, M.D.
- Obstetrics & Gynecology Physician
- Saint Louis, MO
National Provider Identifier
1477520823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35248
- Practice address
- 621 S New Ballas Rd
Suite 4005
Saint Louis, MO 63141-8232 - Phone
- (314) 251-5016
- Fax
- (314) 567-1846
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Saint Louis, MO
- NPI 1114994878
Obstetrics & Gynecology
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35248 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics and Gynecology, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 4005B
Saint Louis, MO 63141
Phone (314) 251-5016
621 S New Ballas Rd
Ste 4005
Saint Louis, MO 63141
Phone (314) 251-5016
Interoperability endpoints
- rbale99425@directc.mercy.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35248 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
621 S New Ballas Rd
Suite 4005
Saint Louis, MO 63141-8232
Mailing address
1034 Cabernet Dr
Chesterfield, MO 63017-8307
Phone (314) 394-4661
Other identifiers 10
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700143 | Other | MO | UNITED HEALTHCARE |
| 119085 | Other | MO | HEALTHLINK |
| 200004711 | Medicaid | MO | |
| 3118423 | Other | MO | CIGNA |
| 3953 | Other | MO | HEALTHCARE USA |
| 4542 | Other | MO | BLUE SHIELD |
| 100073 | Other | MO | MERCY HEALTH PLAN |
| 400050 | Other | MO | AETNA |
| 1408 | Other | MO | GROUP HEALTH PLAN |
| 92513 | Other | MO | FIRST HEALTH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2012.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1477520823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 CABERNET DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178307",
"telephone_number": "314-394-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "SUITE 4005",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-5016",
"fax_number": "314-567-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALE",
"first_name": "ROBERT",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "35248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0700143",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "119085",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200004711",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3118423",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "3953",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "4542",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN",
"identifier": "100073",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "400050",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "1408",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "92513",
"state": "MO"
}
],
"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 Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.