IndividualActive
Blake Montgomery, MD
NPI 1104270610 · Pediatric Orthopaedic Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1104270610
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2023011215 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Childrens Pl
Ste 1b
Saint Louis, MO 63110-1002
Phone: (314) 514-3500
Fax: (314) 878-7678
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2016-04-20
- Last updated
- 2025-04-17
- Certified
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.