BRUCE R BACON MD
NPI 1083622963
Internal Medicine - Gastroenterology in Saint Louis, MO
NPI Status: Active since August 04, 2006
Contact Information
3660 VISTA AVE
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 577-8764
Fax: (314) 577-8125
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Internal Medicine
- Gastroenterology
About BRUCE BACON
This page provides the complete NPI Profile along with additional information for Bruce Bacon, an internist established in Saint Louis, Missouri with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1083622963 assigned on August 2006. The practitioner's primary taxonomy code is 207RG0100X with license number R3L81 (MO). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1083622963
- Provider Name
- BRUCE R BACON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3660 VISTA AVE SAINT LOUIS, MO 63110
- Location Phone
- (314) 577-8764
- Location Fax
- (314) 577-8125
- Mailing Address
- 3691 RUTGER ST PROVIDER ENROLLMENT SAINT LOUIS, MO 63110
- Mailing Phone
- (314) 977-4440
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-04-2006
- Last Update Date
- 08-31-2025
- Code Navigator
An internist like Bruce Bacon is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R3L81
- License State
- MO
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 6 | 2 | 2 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 12 | 2 | 4 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 2 + 2 + 4 + 9 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1083622963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871582692 | ALAN P K WILD MD Individual | Otolaryngology | 3660 VISTA AVE STE. 312 SAINT LOUIS, MO 63110 (314) 977-5110 |
| 1083638969 | DR. ESTHER A. GONZALEZ M.D. Individual | Internal Medicine (Nephrology) | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8765 |
| 1972511848 | ALAN B SILVERBERG MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 977-6157 |
| 1770591653 | HANS J REIMERS MD Individual | Internal Medicine (Hematology & Oncology) | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-8854 |
| 1063420818 | MARGARET M WILSON MD Individual | Internal Medicine (Geriatric Medicine) | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 977-8462 |
| 1992713747 | MARY E GELLENS MD Individual | Internal Medicine (Nephrology) | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 977-8765 |
| 1780694877 | RAYMOND G SLAVIN MD Individual | Internal Medicine (Allergy & Immunology) | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 977-8827 |
| 1831100684 | ROBERT M. HEANEY M.D. Individual | Internal Medicine | 3660 VISTA AVE SUITE 207 SAINT LOUIS, MO 63110 (314) 977-6100 |
| 1255344313 | NORA L. PORTER M.D. Individual | Internal Medicine | 3660 VISTA AVE SUITE 206 SAINT LOUIS, MO 63110 (314) 977-6100 |
| 1144233164 | MARILYN A. MAXWELL M.D. Individual | Internal Medicine | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 977-6100 |
| 1235142274 | THOMAS J. OLSEN M.D. Individual | Internal Medicine | 3660 VISTA AVE SUITE 207 SAINT LOUIS, MO 63110 (314) 977-6100 |
| 1649283623 | RANDY S. SPRAGUE M.D. Individual | Internal Medicine | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 577-6095 |
| 1275546285 | HENRY DOUGLAS WALDEN M.D. Individual | Internal Medicine | 3660 VISTA AVE SUITE 207 SAINT LOUIS, MO 63110 (314) 977-6100 |
| 1689789026 | RAVI P NAYAK MD Individual | Internal Medicine (Pulmonary Disease) | 3660 VISTA AVE SUITE 202 SAINT LOUIS, MO 63110 (314) 977-6190 |
| 1417058280 | DR. TIMOTHY D RICE MD Individual | Internal Medicine | 3660 VISTA AVE SUITE 206 SAINT LOUIS, MO 63110 (314) 977-6100 |
| 1225123797 | DEBORAH WENKERT M.D. Individual | Internal Medicine (Rheumatology) | 3660 VISTA AVE ST. LOUIS, MO 63110 (314) 977-6195 |
| 1518054105 | PERI H. PEPMUELLER M.D. Individual | Internal Medicine (Rheumatology) | 3660 VISTA AVE ST. LOUIS, MO 63110 (314) 977-6195 |
| 1891884870 | DAVID C CRAFTS M.D. Individual | Specialist | 3660 VISTA AVE SAINT LOUIS, MO 63110 (314) 977-6125 |
| 1386721744 | RAMZI R. HAJJAR M.D. Individual | Internal Medicine (Geriatric Medicine) | 3660 VISTA AVE ROOM 204 SAINT LOUIS, MO 63110 (314) 977-8462 |
| 1245317510 | HORACE MITCHELL PERRY III M.D. Individual | Internal Medicine (Geriatric Medicine) | 3660 VISTA AVE ROOM 204 SAINT LOUIS, MO 63110 (314) 977-8462 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083622963, enumerated in the NPI registry as an "individual" on August 04, 2006
The provider is located at 3660 Vista Ave Saint Louis, Mo 63110 and the phone number is (314) 577-8764
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
This NPI record was last updated on August 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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