NPIMap

Organization Active NPI

Davis, Wright, Berdy, & Suffian PC

Doing business as Allergy Consultants

  • Allergy & Immunology Physician
  • Saint Louis, MO
National Provider Identifier
1639110935
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
DAVIS, WRIGHT, BERDY, & SUFFIAN PC
Doing business as
Allergy Consultants
Practice address
456 N New Ballas Rd
Suite 129
Saint Louis, MO 63141-6831
Phone
(314) 569-1881
Fax
(314) 569-3277
NPI assigned
Jun 9, 2006
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Barbara Faupel
Title
Practice Manager
Phone
(314) 569-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

456 N New Ballas Rd
Suite 129
Saint Louis, MO 63141-6831

Mailing address

456 N New Ballas Rd
Suite 129
Saint Louis, MO 63141-6831
Phone (314) 569-1881

Other names 1

  • ALLERGY CONSULTANTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000058 MO Part B Supplier - Clinic/Group Practice 9335110949 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
Practice locations: Saint Louis, MO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

456 N New Ballas Rd
Ste 12
Saint Louis, MO 63141

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1639110935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 129",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-569-1881",
            "fax_number": "314-569-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 129",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-569-1881",
            "fax_number": "314-569-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS, WRIGHT, BERDY, & SUFFIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "FAUPEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-569-1881"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLERGY CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLERGY CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.