Physician Profile

Brock D. Ridenour, MD

Unclaimed Profile

About Dr. Ridenour

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Specialty

Plastic & Reconstructive Surgery (Primary)

Credentials & Licensing

MO license101951
NPI1164536710
NPI issued08/19/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outYes, since February 2017
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Ridenour specialize in?

Dr. Ridenour is a plastic & reconstructive surgeon in Saint Louis, MO. That is the designation recorded for this NPI in the federal registry, where it is listed as “Plastic & Reconstructive Surgery”.

NPI registry

Where is Dr. Ridenour located?

Dr. Ridenour is listed at 12460 Olive Blvd Suite 202, Saint Louis, MO 63141. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Ridenour's phone number?

The number on file is (314) 909-1202. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dr. Ridenour's NPI number?

Dr. Ridenour's National Provider Identifier is 1164536710. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Ridenour been practicing?

Dr. Ridenour has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Ridenour confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Ridenour. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.