NPI
Bluetail Medical Group, LLC.
NPI 1285986398
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2012-10-12
- Last updated
- 2025-11-17
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Specialties
Licenses
- License MO
- LC1262307
Location
- Practice location
- 13353 Olive Blvd
- City
- Chesterfield MO
- Postal code
- 63017-3108
- Phone
- (636) 778-2900
Organization contact
- Name
- Joe O'Neil
- Title
- Practice Administrator
- Phone
- (636) 778-2900
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Chesterfield, MO. 2,882 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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