Active NPI
Gregory Bardley, CERTIFIED PEDORTHIST
- Pedorthist
- Saint Peters, MO
National Provider Identifier
1902545858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- Practice address
- 1405 Jungermann Rd
Saint Peters, MO 63376-7377 - Phone
- (636) 485-2992
- NPI assigned
- May 31, 2022
- Last updated
- May 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pedorthist | 224L00000X | NU | Primary |
Addresses
Primary practice location
1405 Jungermann Rd
Saint Peters, MO 63376-7377
Mailing address
1405 Jungermann Rd
Saint Peters, MO 63376-7377
Phone (636) 485-2992
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amari Pedorthics & Orthotics LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1405 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 485-2992
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1902545858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767377",
"telephone_number": "636-485-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767377",
"telephone_number": "636-485-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDLEY",
"first_name": "GREGORY",
"credential": "CERTIFIED PEDORTHIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
- Blake Baldwin, PTA
- Erin Elizabeth Ball, PHARMD
- Madison Baniak
- Maisie A Bankah
- Julia C Barbagallo, LPC
- Nicole C Barhorst, LPC
- Barnes Jewish Hospital (Barnes-Jewish Hospital Pharmacy St. Peters)
- Barnes Jewish St Peters Hospital Inc (Barnes-Jewish St Peters Hospital)
- Barnes Jewish St Peters Hospital Inc (Family Care Pharmacy at Barnes St Peters Hospital)
- Barnes Jewish St. Peters Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.