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BURT I. BROMBERG M.D.
NPI 1124135454
Pediatrics - Pediatric Cardiology in Saint Louis, MO

Active since August 24, 2006PECOS Enrolled
621 S NEW BALLAS RD, SUITE 198-A, SAINT LOUIS, MO 63141(314) 251-6777(314) 251-5859 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Burt I. Bromberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURT I. BROMBERG M.D. (NPI 1124135454) is an individual pediatric cardiology provider in Saint Louis, Missouri, licensed in New Mexico (MD2020-0088) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124135454
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameBURT I. BROMBERGCredential: M.D.
Location Address621 S NEW BALLAS RD, SUITE 198-ASaint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd, Suite 198-aSaint Louis, MO 63141-8232 · (314) 251-6777 · Fax (314) 251-5859
Phone(314) 251-6777
Fax(314) 251-5859
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateFebruary 27, 2020
✔ NPI 1124135454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in NM · MD2020-0088✔ Licensed in MO · R9H67
Definition

A pediatric cardiologist 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.

621 S NEW BALLAS RD, Saint Louis, MO 63141
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Other Identifiers 1

Medicaid202593737MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burt I. Bromberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT J BACKER MD
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6364
PETER GAILLARD SMITH MD, PHD
Otolaryngology (Otology & Neurotology)
621 S NEW BALLAS RD, STE 597A
SAINT LOUIS, MO 63141
St. Louis County (314) 432-5151
JOHN S FARRELL M.D.
Internal Medicine (Gastroenterology)
621 S NEW BALLAS RD, SUITE 584A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6966
DR. PETER KONG-WOO YOON M.D.
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6364
ALBRO C TOBEY JR. MD
Obstetrics & Gynecology
621 S NEW BALLAS RD, STE 399
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6644
ROBERT L BECKER MD
Obstetrics & Gynecology
621 S NEW BALLAS RD, STE 399
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6644
DR. GREGORY W BRABBEE M.D.
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6840
DR. RICHARD C PENNELL M.D.
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6840

Frequently Asked Questions

What is Burt Bromberg's NPI number?

The NPI number assigned to this healthcare provider is 1124135454, enumerated as an "individual" on August 24, 2006.

Where is the provider located?

The provider is located at 621 S NEW BALLAS RD SUITE 198-A SAINT LOUIS, MO 63141 and the phone number is (314) 251-6777.

What is the provider's specialty?

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

What insurance does Burt Bromberg accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.