Individual provider Active NPI

Melissa Ann Bean, DO, MBA, MPH, FACOEM

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Hazelwood, MO
National Provider Identifier
1609978261
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
L8611 Issued in TX
Practice address
5757 Phantom Dr
Suite 400
Hazelwood, MO 63042-2429
Phone
(314) 513-9404
Fax
(314) 513-9515
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3F29 MO
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X R3F29 MO
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 22965-021 WI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X L8611 TX Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X IL

Addresses

Primary practice location

5757 Phantom Dr
Suite 400
Hazelwood, MO 63042-2429

Mailing address

271 Bellington LN
Saint Louis, MO 63141-8118
Phone (314) 514-9798

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)
Not enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
R3F29MOMDFamily Medicine Physician
036-062176ILMDPreventive Medicine/Occupational Environmental Medicine Physician
L8611TXMDPreventive Medicine/Occupational Environmental Medicine Physician
22965-021WIMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609978261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 BELLINGTON LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418118",
            "telephone_number": "314-514-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PHANTOM DR",
            "address_2": "SUITE 400",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422429",
            "telephone_number": "314-513-9404",
            "fax_number": "314-513-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO, MBA, MPH, FACOEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R3F29",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MO",
            "license": "R3F29",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WI",
            "license": "22965-021",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "L8611",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.