Burt I. Bromberg
Pediatric Cardiologist
621 S New Ballas Rd Suite 198-A
Saint Louis
, Missouri 63141-8232
Burt I. Bromberg
Pediatric Cardiologist
621 S New Ballas Rd Suite 198-A
Saint Louis
, Missouri 63141-8232
(314) 251-5859
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Burt I. Bromberg
- 621 S New Ballas Rd Suite 198-A
- Saint Louis, MO
- Zip : 63141-8232
- Fax : (314) 251-5859
- Phone : (314) 251-6777
Second Address
- Burt I. Bromberg
- 621 S New Ballas Rd Suite 198-A
- Saint Louis, MO
- Zip : 63141-8232
- Fax : (314) 251-5859
- Phone : (314) 251-6777
Reviews
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What type of doctor is Burt I. Bromberg
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Is Burt I. Bromberg a sole practitioner?
Is Burt I. Bromberg accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | MD2020-0088 | NM |
| N | 2080P0202X | Pediatric Cardiologist | R9H67 | MO |
National Provider Identifier
| NPI | 1124135454 |
|---|---|
| Provider Name | Burt I. Bromberg |
| First Address | Saint Louis, MO 63141-8232 |
| Second Address | Saint Louis, MO 63141-8232 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2006 |
| Last Update Date | 27/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 202593737 | (05) | MO |
| B48783 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.