Bluetail Medical Group, LLC.
Orthopaedic Surgery, Sports Medicine in Chesterfield, Missouri
1285986398- Practice location
- 13353 Olive Blvd, Chesterfield, MO 63017-3108
- Phone
- 636-778-2900
- Fax
- 636-778-2828
- Last updated
- November 17, 2025
Bluetail Medical Group, LLC. is a healthcare organization based in Chesterfield, MO. Bluetail Medical Group, LLC. practices in Chesterfield, MO. The NPI Number for Bluetail Medical Group, LLC. is 1285986398 and holds a License No. LC1262307 (MO). The current practice location address for Bluetail Medical Group, LLC. is 13353 Olive Blvd, Chesterfield, MO 63017-3108 and can be reached out via phone at 636-778-2900 and via fax at 636-778-2828.
Provider Profile Details
- NPI Number
- 1285986398
- Provider Name
- Bluetail Medical Group, LLC.
- Provider Entity Type
- Organization
- Address
- 13353 Olive Blvd, Chesterfield, MO 63017-3108
- Phone Number
- 636-778-2900
- Fax Number
- 636-778-2828
- Primary Taxonomy
- Orthopaedic Surgery, Sports Medicine · 207XX0005X
- Organization Subpart
- No
- Authorized Official
- Joe O'Neil · Practice Administrator · 636-778-2900
- Provider Enumeration Date
- October 12, 2012
- Last Update Date
- November 17, 2025
- Certification Date
- November 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13353 Olive Blvd
Chesterfield, MO 63017-3108 - City
- Chesterfield
- State
- Missouri
- Zip
- 63017-3108
- Phone Number
- 636-778-2900
- Fax Number
- 636-778-2828
Provider Business Mailing Address Details
- Address
- Po Box 11665
Belfast, ME 04915-4007 - City
- Belfast
- State
- ME
- Zip
- 04915-4007
- Phone Number
- 636-778-2900
- Fax Number
- 636-778-2828
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- License Number (2)
- LC1262307
- License State (2)
- MO
- Taxonomy (2)
- Orthopaedic Surgery, Sports Medicine · 207XX0005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Orthopaedic Surgery, Sports Medicine providers near Chesterfield, MO
View all Orthopaedic Surgery, Sports Medicine providers in Chesterfield →Frequently Asked Questions
What is the NPI number of Bluetail Medical Group, LLC.?
The NPI number of Bluetail Medical Group, LLC. is 1285986398. It was assigned on October 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Bluetail Medical Group, LLC.?
Bluetail Medical Group, LLC. is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in MO under license number LC1262307.
Where does Bluetail Medical Group, LLC. practice?
The practice location is 13353 Olive Blvd, Chesterfield, MO 63017-3108. The office can be reached at 636-778-2900 (phone) or 636-778-2828 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285986398 directly on the NPPES registry website.