OrganizationActive
Center for Urologic Surgery LLC
NPI 1093230450 · Ambulatory Surgical Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1093230450
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Bradford, Managing Partner(214) 738-0357
- License
- 289-0 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12855 N 40 Dr Ste 100
Saint Louis, MO 63141
Phone: (314) 594-8230
Fax: (314) 594-8246
Approximate (ZIP-level) locationGet directions
Mailing address
913 S Main St Unit 212
Grapevine, TX 76051-7582
Registry dates
- Enumerated
- 2017-08-07
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.