OrganizationActiveAccepts Medicare
Northwest Otolaryngology, Inc
NPI 1578747408 · Specialist · Bridgeton, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1578747408
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Budzinski, Billing Manager(636) 379-6006
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
12255 De Paul Dr Ste 830n
Bridgeton, MO 63044-2510
Phone: (314) 291-5307
Fax: (314) 291-0838
Street-level locationGet directions
Mailing address
12255 De Paul Dr Ste 830n
Bridgeton, MO 63044-2510
Other names (DBA / former)
- Doing business as
- Northwest Otolaryngology
- Doing business as
- Northwest Otolaryngology
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2019-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.