npidexNPI registry + Medicare data

BROCK RIDENOUR, MD

Plastic and Reconstructive Surgery Physician · SAINT LOUIS, MO

Individual Active Opted out of Medicare NPI 1164536710

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Plastic and Reconstructive Surgery Physician2086S0122X✓101951MO

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Plastic And Reconstructive Surgery), effective 2017-02-27 through 2027-02-27.

Other Plastic and Reconstructive Surgery Physician providers in Missouri

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.