Provider Demographics
NPI:1154327039
Name:BIEL, STANLEY I (MD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:I
Last Name:BIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11125 DUNN RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-6132
Mailing Address - Country:US
Mailing Address - Phone:314-839-5522
Mailing Address - Fax:314-839-5351
Practice Address - Street 1:12266 DE PAUL DR STE 205
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2514
Practice Address - Country:US
Practice Address - Phone:314-218-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9573207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A09848OtherMERCY
MOP00287307OtherMORRMCR
MO207585OtherMOBC/BS, BLUE CHOICE
42312V3831OtherGHP
822864OtherUHC
431098908OtherAETNA
MO201532991Medicaid
021221OtherFMH
822864OtherUHC
021221OtherFMH
MO207585OtherMOBC/BS, BLUE CHOICE
A09848OtherMERCY
MOP00287307OtherMORRMCR
MO012720900Medicare PIN