IndividualActive
Bradley Petkovich, M.D.
NPI 1033485156 · Pulmonary Disease Physician · Saint Louis, MO
Provider details
- NPI number
- 1033485156
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2025038953 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone: (314) 768-8622
Fax: (314) 768-7177
Approximate (ZIP-level) locationGet directions
Mailing address
1008 S Spring Ave
Saint Louis, MO 63110-2520
Additional practice locations (1)
- 1035 Bellevue Ave Ste 500Saint Louis, MO 63117-1843Phone: (314) 925-4744Fax: (314) 925-4764
Registry dates
- Enumerated
- 2012-03-23
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.