Provider Demographics
NPI:1265723407
Name:GRAYPEL, ERNEST ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:ALEXANDER
Last Name:GRAYPEL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:10004 KENNERLY ROAD
Mailing Address - Street 2:SUITE 362 B
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128
Mailing Address - Country:US
Mailing Address - Phone:314-525-5050
Mailing Address - Fax:314-525-5072
Practice Address - Street 1:10004 KENNERLY ROAD
Practice Address - Street 2:SUITE 362 B
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128
Practice Address - Country:US
Practice Address - Phone:314-525-5050
Practice Address - Fax:314-525-5072
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1655732084P0800X
MO20150026342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO156440095OtherMEDICARE PTAN #