Dr. Gordon R Bloomberg
MD | Pediatric Allergy-Immunology | Male
Dr. Gordon R Bloomberg, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Gordon R Bloomberg is
1 Childrens Pl, Ste 5s30, Saint Louis, Missouri - 63110-1002. He can be contacted on phone at
314-454-2694 and fax number 314-454-2515.
Dr. Gordon R Bloomberg is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gordon R Bloomberg is
1619993920 which was assigned by NPPES on 14 Jul, 2006 and it was last updated on 04 Nov, 2015.
Dr. Gordon R Bloomberg license number is
R2406 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Missouri.
Dr. Gordon R Bloomberg specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Gordon R Bloomberg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. Gordon R Bloomberg |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Gordon R Bloomberg 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 : | 1 Childrens Pl, Ste 5s30
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-2694 |
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| Fax Number : | 314-454-2515 |
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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 : | 1619993920 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jul, 2006 |
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| Last Updated On : | 04 Nov, 2015 |
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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 Dr. Gordon R Bloomberg are as mentioned. Primary taxonomy code for Dr. Gordon R Bloomberg, MD is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | R2406 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gordon R Bloomberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 103810076 | MEDICAID | MO | |
| 1737758 | MEDICAID | MS | |
| $$$$$$$$$ | MEDICAID | IL | |
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 : | 1 Childrens Pl, C B 8116
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-2694 |
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| Fax Number : | 314-454-2515 |
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Business Location:
Patients can refer following map for directions to
Dr. Gordon R Bloomberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.