IndividualActive
Bradley Putty, M.D.
NPI 1225051774 · Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1225051774
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- Q1000 (TX)
Practice location
1008 S Spring Ave
Saint Louis, MO 63110-2520
Phone: (314) 977-4717
Fax: (314) 977-1877
Mailing address
2215 Turkey Run Ln
Springfield, MO 65809-3554
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2023-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.