Ssm Depaul Medical Group, Inc.
NPI 1174636575 · Family Medicine Physician · Bridgeton, MO
Ssm Depaul Medical Group, Inc. is a Family Medicine Physician organization in Bridgeton, MO (NPI 1174636575).
Provider details
- NPI number
- 1174636575
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Pullum, Director of Patient Accounts(314) 209-8121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Family Care Physicians
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ssm Depaul Medical Group, Inc.'s NPI number?
- Ssm Depaul Medical Group, Inc.'s National Provider Identifier (NPI) is 1174636575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ssm Depaul Medical Group, Inc.?
- Ssm Depaul Medical Group, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ssm Depaul Medical Group, Inc. located?
- Ssm Depaul Medical Group, Inc.'s practice location on file with NPPES is 12255 De Paul Dr, Bridgeton, MO 63044-2510.
- What is Ssm Depaul Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ssm Depaul Medical Group, Inc. is (314) 291-1074.
- Who is the authorized official for Ssm Depaul Medical Group, Inc.?
- The authorized official listed on Ssm Depaul Medical Group, Inc.'s NPPES record is Laura Pullum, Director of Patient Accounts. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ssm Depaul Medical Group, Inc.'s NPI active?
- Yes — Ssm Depaul Medical Group, Inc.'s NPI (1174636575) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.