Healthcare Provider Details

I. General information

NPI: 1073445342
Provider Name (Legal Business Name): DR. MATTHEW FREEMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
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

MSC 8033-29-2200 4590 NASH WAY
SAINT LOUIS MO
63110
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2026024627
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: