William F Bzdawka, PHARMD, MD

Key facts

NPI

1831452671

Entity type

Individual (NPI type 1)

Primary specialty

Pulmonary Disease Physician 207RP1001X

License

20109033505 (MO)

Practice address

12700 Southfork Rd Ste 280
Saint Louis, MO 63128

Phone

(314) 892-6565

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Mercy Clinic Pulmonology - St. Louis, LLC Pulmonary Disease Physician · Saint Louis, MO · NPI 1821137886
  Medicare reassignment Care Compare group NPD MO · PULMONARY DISEASE
• Mercy Clinic Adult Critical Care, LLC Critical Care Medicine (Internal Medicine) Physician · Saint Louis, MO · NPI 1730119421
  Medicare reassignment MO

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Jefferson General Acute Care Hospital · Festus, MO · NPI 1508859661
  Care Compare affiliation Hospital
• Mercy Hospital South General Acute Care Hospital · Saint Louis, MO · NPI 1568481984
  Care Compare affiliation Hospital
• Mercy Hospitals East Communities General Acute Care Hospital · Saint Louis, MO · NPI 1427098169
  Care Compare affiliation Hospital
• Mercy Hospitals East Communities Land Ambulance · Saint Louis, MO · NPI 1881329902
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pulmonary Disease

Education

Saint Louis University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Clinic Pulmonology - St. Louis, LLC (23 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital South Hospital · Saint Louis, MO · CCN 260077
• Mercy Hospital St Louis Hospital · Saint Louis, MO · CCN 260020
• Mercy Hospital Jefferson Hospital · Crystal City, MO · CCN 260023

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine, Doctor of Pharmacy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2019.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1831452671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283287",
            "telephone_number": "314-892-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-892-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_2": "H4/831",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "414-861-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BZDAWKA",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "credential": "PHARMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2010037345",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15693040",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "64188-20",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "20109033505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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