Individual
BRUCE K BIENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4492
(314) 525-4481
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
108877
MO
2085R0202X
Diagnostic Radiology Physician
0101240919
VA
2085R0202X
Diagnostic Radiology Physician
036101977
IL
2085R0202X
Diagnostic Radiology Physician
04-28930
KS
2085R0202X
Diagnostic Radiology Physician
Primary
108877
MO
2085R0202X
Diagnostic Radiology Physician
21052
WV
2085R0202X
Diagnostic Radiology Physician
35173
TN
2085R0202X
Diagnostic Radiology Physician
MD-33964
IA
2085R0202X
Diagnostic Radiology Physician
MD459547
PA
2085R0204X
Vascular & Interventional Radiology Physician
108877
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203935416
—
MO
05
—
366644640
—
IL
Enumeration date
07/20/2006
Last updated
10/29/2020
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