Healthcare Provider Details
I. General information
NPI: 1497954754
Provider Name (Legal Business Name): CENTERPOINT PHYSICIANS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19550 E 39TH ST S SUITE 250
INDEPENDENCE MO
64057-2303
US
IV. Provider business mailing address
2000 HEALTH PARK DR
BRENTWOOD TN
37027-4692
US
V. Phone/Fax
- Phone: 816-373-0655
- Fax: 816-478-6374
- Phone: 615-373-7406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BENJAMIN
CALKINS
Title or Position: GROUP VICE PRESIDENT
Credential:
Phone: 615-372-6536