DR. GREGG JONATHAN BERDY (NPI# 1376541540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376541540 |
| Entity Type | Individual |
| Full Name | DR. GREGG JONATHAN BERDY |
| Credential | M.D. |
| Practice Address |
12990 Manchester Rd Suite 200 Saint Louis MO 63131-1860 |
| Practice Telephone | 3149665000 |
| Practice Fax Number | 3149096666 |
| Mailing Telephone | 3149665000 |
| Mailing Fax Number | 3149096666 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | R1E17 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
12990 MANCHESTER RD SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460723 | Robert Christian Brusatti | Optometrist | 12990 Manchester Rd, Suite 200, Saint Louis, MO 63131-1860 | 2005-07-12 |
| 1528334182 | Eye Anesthesia LLC | Anesthesiology | 12990 Manchester Rd, Suite 105, Saint Louis, MO 63131-1860 | 2012-03-28 |
| 1548399561 | Des Peres Eye Surgery Center, LLC | Clinic/Center | 12990 Manchester Rd, Suite 103, Saint Louis, MO 63131-1860 | 2007-03-05 |
| 1003960980 | Berdy & Malhotra PC | Ophthalmology | 12990 Manchester Rd, Suite 200, Saint Louis, MO 63131-1860 | 2007-01-22 |
| 1255435657 | Andrew P Royer | Optometrist | 12990 Manchester Rd, Suite 200, Saint Louis, MO 63131-1860 | 2006-09-07 |
| 1134117732 | John B Holds | Surgery | 12990 Manchester Rd, Ste 102, Saint Louis, MO 63131-1804 | 2005-10-10 |
| 1396743555 | Ranjan Prakash Malhotra | Ophthalmology | 12990 Manchester Rd, Ste 200, Saint Louis, MO 63131-1860 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1184038986 | Grace L Paley | Ophthalmology | 621 S New Ballas Rd Ste 5006b, Saint Louis, MO 63141-8270 | 2014-06-19 |
| 1992140958 | Andrew Robert Lee | Ophthalmology | 660 S Euclid Ave # 8096, Saint Louis, MO 63110-1010 | 2013-05-03 |
| 1083941488 | William Steven Joffe | Ophthalmology | 4912 Mcpherson Ave, Saint Louis, MO 63108-1608 | 2009-11-06 |
| 1033349741 | Nancy Buchser | Ophthalmology | 4921 Parkview Pl Ste 14f, Saint Louis, MO 63110-1032 | 2009-07-16 |
| 1730316449 | Augustine Richard Hong | Ophthalmology | 5201 Mid America Plz Ste 2500, Ste 2500, Saint Louis, MO 63129-0002 | 2009-06-20 |
| 1548470032 | Fe Poblete Fuentes | Ophthalmology | 84 Grasso Plz, Saint Louis, MO 63123-3108 | 2007-05-23 |
| 1255543047 | Malaz Safi, M.d., P.C. | Ophthalmology | 8790 Watson Rd Ste 203, Saint Louis, MO 63119-5140 | 2007-05-04 |
| 1063535623 | Therese M Alban | Ophthalmology | 12395 Olive Blvd, Suite 301, Saint Louis, MO 63141-5462 | 2007-04-09 |
| 1902924368 | Eye Specialists of West County, P.C. | Ophthalmology | 777 S New Ballas Rd Ste 218e, Saint Louis, MO 63141-8718 | 2007-03-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.