Doctor profile · Federal record
Dr. Blake Montgomery, MD
Pediatric Orthopaedic Surgery Physician · Saint Louis, MO
- NPI 1104270610
- 10 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1 Childrens Pl, Ste 1B
Saint Louis, MO 631101002
(314) 514-3500
fax (314) 878-7678 - Mailing address
-
Po Box 7412011
Chicago, IL 606742011
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- April 17, 2025
- Specialty taxonomy
- 207XP3100X — NUCC code
- State license (1)
- Missouri #2023011215
- Medicaid
- MO #200124874
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104270610. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$584
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 4 | $474.40 | |
| Globus Medical, INC. | 1 | $109.16 |
By nature of payment
Frequently asked questions
What is Dr. Blake Montgomery's medical specialty?
Dr. Blake Montgomery practices Pediatric Orthopaedic Surgery Physician in Saint Louis, MO.
Where does Dr. Blake Montgomery practice?
Dr. Blake Montgomery practices at 1 Childrens Pl, Saint Louis, MO 631101002. Office phone: 3145143500.
What is Dr. Blake Montgomery's NPI?
Dr. Blake Montgomery's National Provider Identifier (NPI) is 1104270610, issued by NPPES.