OrganizationActive
Bridgeton Pain Group
NPI 1114626462 · General Practice Physician · Bridgeton, MO
Provider details
- NPI number
- 1114626462
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mitchell Liberman, President(314) 526-6093
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11520 Saint Charles Rock Rd Ste 201
Bridgeton, MO 63044
Phone: (314) 526-6093
Street-level locationGet directions
Mailing address
11520 Saint Charles Rock Rd Ste 201
Bridgeton, MO 63044-2732
Registry dates
- Enumerated
- 2023-02-27
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.