Burt I. Bromberg
M.D. | Pediatric Cardiology | Male
Burt I. Bromberg, M.D. is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Burt I. Bromberg is
621 S New Ballas Rd, Suite 198-a, Saint Louis, Missouri - 63141-8232. He can be contacted on phone at
314-251-6777 and fax number 314-251-5859.
Burt I. Bromberg is a sole proprietor of his business.
NPI number (Unique professional ID) for Burt I. Bromberg is
1124135454 which was assigned by NPPES on 24 Aug, 2006 and it was last updated on 27 Feb, 2020.
Burt I. Bromberg license number is
MD2020-0088 for Pediatrics Pediatric Cardiology (2080P0202X) in New Mexico.
Burt I. Bromberg provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Burt I. Bromberg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Burt I. Bromberg |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Burt I. Bromberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 621 S New Ballas Rd, Suite 198-a
Saint Louis, MO, 63141-8232
United States |
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| Phone Number : | 314-251-6777 |
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| Fax Number : | 314-251-5859 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124135454 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Aug, 2006 |
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| Last Updated On : | 27 Feb, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Burt I. Bromberg are as mentioned. Primary taxonomy code for Burt I. Bromberg, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | No | R9H67 | MO |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | MD2020-0088 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Burt I. Bromberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 202593737 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 621 S New Ballas Rd, Suite 198-a
Saint Louis, MO, 63141-8232
United States |
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| Phone Number : | 314-251-6777 |
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| Fax Number : | 314-251-5859 |
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Business Location:
Patients can refer following map for directions to
Burt I. Bromberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.