MEDICARE: DR. WILLIAM FREDERICK FELDNER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R1J82	MO
2	207QS0010X	Sports Medicine (Family Medicine) Physician	R1J82	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922085539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM FREDERICK FELDNER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 959354
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-3340
Country	:	US
Telephone Number	:	314-996-4900
Fax Number	:	314-996-4901

Provider Business Practice Location Address
First Line	:	3009 NORTH NEW BALLAS ROAD STE 226A
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-2395
Country	:	US
Telephone Number	:	314-996-4900
Fax Number	:	314-996-4901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	09/18/2025

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