IndividualActive
Brandon Baumgarten
NPI 1003260449 · Specialist · Hazelwood, MO
Provider details
- NPI number
- 1003260449
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2013032834 (MO)
Practice location
7299 Town and Country Pl
Hazelwood, MO 63042-1929
Phone: (219) 629-0982
Mailing address
7299 Town and Country Pl
Hazelwood, MO 63042-1929
Registry dates
- Enumerated
- 2016-04-22
- Last updated
- 2016-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.