Individual
JOHN BAUER
Active
Individual
JOHN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
112733
MO
208000000X
Pediatrics Physician
112733
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146167
BCBS
—
05
—
160304001
—
AR
05
—
203827522
—
MO
01
—
705383
HEALTHLINK
—
05
—
7100013060
—
KY
01
—
P00233446
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
05/12/2026
Update your record
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