BERNARD C JR. RANDOLPH (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1841286358

BERNARD C JR. RANDOLPH (M.D.) is a healthcare provider. based in St. louis, Missouri. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. R6G60 (MO). The NPI Number for BERNARD C JR. RANDOLPH (M.D.) is 1841286358

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
BERNARD C JR. RANDOLPH (M.D.)
NPI
1841286358
Phone
(314) 966-0111
Address
12813 FLUSHING MEADOWS DRIVE
Enumeration Date
21 September 2005
Last Update Date
21 October 2011

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6362206969
Graduation Year
1985 (41 years ago)
PAC ID
0749266252
Group Practice PAC ID
3173654936
Professional Enrollment ID
I20100204000632
Address ID
MO630113077BA15425RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

239 PHYSICAL MEDICINE AND REHABILITATION in MO

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Provider Addresses for BERNARD C JR. RANDOLPH (M.D.)

  • 12813, Flushing Meadows Drive, Bel Aire Office Park, Town and Country, Saint Louis County, Missouri, 63131, United States

    SUITE 210

    ST. LOUIS, MO 63131

    Phone: (314) 966-0111

    Fax: (314) 966-1023

    Type: Mailing

  • North Forty Drive, Westwood, Saint Louis County, Missouri, 63131, United States

    SUITE 125

    ST LOUIS, MO 63141

    Phone: (314) 966-0111

    Fax: (314) 966-1023

    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: 2010-02-04

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
I20100204000632IPhysical Medicine And RehabilitationMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes211133$0
99214Established patient office or other outpatient visit, 30-39 minutes12895$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study10972$0
99203New patient office or other outpatient visit, 30-44 minutes8181$0
95911Nerve conduction, 9-10 studies3838$0
View full utilization report →

Insurance plans in this area (ZIP 63131)

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Provider's Procedures

BERNARD C JR. RANDOLPH (M.D.) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOMO95910Nerve transmission studies, 7-8 studies1212

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: 3173654936View full group profile
NameSpecialtyState
Orthopedic SurgeryMO
Nurse PractitionerMO
Physician AssistantIL
Orthopedic SurgeryMO
Orthopedic SurgeryMO
Orthopedic Surgery, Sports MedicineMO
Orthopedic SurgeryMO
Internal Medicine, HospitalistMO
Internal MedicineMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What identifier follows BERNARD C JR. RANDOLPH (M.D.) across health systems?
The NPI 1841286358 uniquely identifies BERNARD C JR. RANDOLPH (M.D.) in U.S. healthcare data.
Is BERNARD C JR. RANDOLPH (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists BERNARD C JR. RANDOLPH (M.D.) as active.
What services align with BERNARD C JR. RANDOLPH (M.D.)'s listing?
BERNARD C JR. RANDOLPH (M.D.)'s public classification highlights Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BERNARD C JR. RANDOLPH (M.D.)?
The directory associates BERNARD C JR. RANDOLPH (M.D.) with St. Louis, Missouri. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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