NPI 1285986398 · live from the CMS NPI Registry
Bluetail Medical Group, LLC.
Orthopaedic Surgery, Sports Medicine in Chesterfield, MO. National Provider Identifier 1285986398, active.
NPI record
| NPI | 1285986398 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 13353 Olive Blvd, Chesterfield, MO 63017 |
| Practice phone | 636-778-2900 |
| Mailing address | Po Box 11665, Belfast, ME 04915 |
| Enumerated | October 12, 2012 |
| Last updated | November 17, 2025 |
| Authorized official | Joe O'Neil, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | — |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | LC1262307 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.