OrganizationActive
Advantage Pain Management Inc
NPI 1770715906 · General Practice Physician · Bridgeton, MO
Provider details
- NPI number
- 1770715906
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- H. Kenneth Gilbertson, Owner
- License
- 003647 (MO)
Practice location
11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Phone: (314) 770-0900
Fax: (314) 770-1623
Mailing address
11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Registry dates
- Enumerated
- 2009-08-21
- Last updated
- 2013-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.