IndividualActive
Bernard Randolph, M.D.
NPI 1841286358 · Physical Medicine & Rehabilitation Physician · St Louis, MO
Provider details
- NPI number
- 1841286358
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- R6G60 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12855 North Forty Drive
Suite 125
St Louis, MO 63141
Phone: (314) 966-0111
Fax: (314) 966-1023
Approximate (ZIP-level) locationGet directions
Mailing address
12813 Flushing Meadows Drive
St. Louis, MO 63131
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2011-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.