Active NPI
Melissa Ann Bean, DO, MBA, MPH, FACOEM
- Preventive Medicine/Occupational Environmental Medicine Physician
- Hazelwood, MO
National Provider Identifier
1609978261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- L8611
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R3F29 | MO | MD | Family Medicine Physician |
| 036-062176 | IL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| L8611 | TX | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 22965-021 | WI | MD | Preventive 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.