Active NPI
Heather Anne Berigan, M.D.
- Pediatrics Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2017008996
- Practice address
- 12255 Depaul Drive # 300
Bridgeton, MO 63044 - Phone
- (314) 344-6021
- NPI assigned
- Apr 14, 2014
- Last updated
- Nov 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2017008996 | MO | Primary |
Addresses
Primary practice location
12255 Depaul Drive # 300
Bridgeton, MO 63044
Mailing address
12255 De Paul Dr Ste 300
Bridgeton, MO 63044-2510
Phone (314) 344-6021
Other practice location 1
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 577-5634
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hberigan112923@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | http://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017008996 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Pediatrics | Current | Accepting new patients |
| SSM Cardinal Glennon Childrens Hospital | Pediatrics | Current | Accepting new patients |
| SSM Cardinal Glennon Children's Hospital | Pediatrics | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
12255 De Paul Dr
Ste 300
Bridgeton, MO 63044
Phone (314) 209-0933
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
1465 S Grand Blvd
Rm 2717
Saint Louis, MO 63104
Phone (314) 268-4070
Interoperability endpoints
- hberigan112923@direct-ehr-ssmhc.com
Organizations & group practices 3
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.
-
dba SSM Health Cardinal Glennon Children's Hospital
- Pediatrics Physician
- O'Fallon, IL
- NPI 1174577670
MO
-
dba SSM Health Cardinal Glennon Pediatrics
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
dba SSM Health Cardinal Glennon Pediatrics
- Pediatrics Physician
- Saint Louis, MO
- NPI 1073568226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1700205184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR STE 300",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442510",
"telephone_number": "314-344-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DEPAUL DRIVE # 300",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-344-6021"
}
],
"practiceLocations": [
{
"address_1": "1465 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041003",
"country_code": "US",
"telephone_number": "314-577-5634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERIGAN",
"first_name": "HEATHER",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2017008996",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hberigan112923@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "hberigan112923@direct-ehr-ssmhc.com",
"address_1": "12255 DePaul Drive # 300",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "63044",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "http://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "12255 DePaul Drive # 300",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "63044",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.