Healthcare Provider Details

I. General information

NPI: 1043913445
Provider Name (Legal Business Name): IURI FERREIRA FELIX MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

PO BOX 60352 DEPT OF INTERNAL MEDICINE
SAINT LOUIS MO
63160-0352
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1291
  • Fax: 314-747-1417
Mailing address:
  • Phone: 314-362-1291
  • Fax: 314-747-1417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number77476
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33346
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: