DR. KEITH H BRIDWELL (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1063438281

DR. KEITH H BRIDWELL (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. R8587 (MO). The NPI Number for DR. KEITH H BRIDWELL (MD) is 1063438281

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH H BRIDWELL (MD)
NPI
1063438281
Phone
(314) 514-3500
Address
660 S EUCLID AVE
Enumeration Date
14 July 2006
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3145143500
Graduation Year
1977 (49 years ago)
PAC ID
6608919675
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20100130000219
Address ID
MO631101032SA4921XPLXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

802 ORTHOPEDIC SURGERY in MO

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Provider Addresses for DR. KEITH H BRIDWELL (MD)

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8233

    SAINT LOUIS, MO 631101010

    Phone: (314) 514-3500

    Fax: (314) 747-8741

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 514-3500

    Fax: (314) 878-7678

    Type: Mailing

  • Siteman Cancer Center, 4921, Parkview Place, BJC, City of Saint Louis, Missouri, 63110, United States

    DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A

    SAINT LOUIS, MO 631101032

    Phone: (314) 514-3500

    Fax: (314) 878-7678

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100130000219IOrthopedic SurgeryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes5248$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99205New patient office or other outpatient visit, 60-74 minutes2323$0
99214Established patient office or other outpatient visit, 30-39 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KEITH H BRIDWELL (MD)?
DR. KEITH H BRIDWELL (MD) — NPI 1063438281 — is the standard way to identify this listing.
Does the file indicate DR. KEITH H BRIDWELL (MD) is practicing under active NPI?
Directory data currently reports DR. KEITH H BRIDWELL (MD) as active.
What is DR. KEITH H BRIDWELL (MD)'s primary classification?
Orthopaedic Surgery of the Spine Physician is the headline specialty for DR. KEITH H BRIDWELL (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEITH H BRIDWELL (MD)?
DR. KEITH H BRIDWELL (MD)'s geographic hint is Saint Louis, Missouri in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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