IndividualActive
Stephen Braddock, MD
NPI 1811934490 · Clinical Genetics (M.D.) Physician · St. Louis, MO
Provider details
- NPI number
- 1811934490
- Entity type
- Individual
- Primary specialty
- Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD106085 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1465 S Grand Blvd
St. Louis, MO 63104-1003
Phone: (314) 577-5639
Fax: (314) 268-4112
Approximate (ZIP-level) locationGet directions
Mailing address
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2021-01-15
- Certified
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.