1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pediatrics
  6. NPI Profile

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: August 09, 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
Open in Google Maps ↗

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 20

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

STEPHANIE LYNN SHOREY WHNP-BC
Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
St. Louis County (314) 991-5000
DR. KATHRYN BOTNEY M.D.
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5016
HUILIN LI M.D.
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
LUIS A GIUFFRA LLC
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-7720
JOSEPH G HERRMANN MD LLC
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
St. Louis County (314) 432-0056
KAREN KILO RN, CDE, RD
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-4330
KATINA M CANDEE PA-C
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-2095
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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burt Bromberg's NPI number?

The NPI number for Burt Bromberg is 1124135454. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Burt Bromberg located?

Burt Bromberg practices at 621 S New Ballas Rd Suite 198-A, Saint Louis, MO 63141. The listed phone number is (314) 251-6777.

What is Burt Bromberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Burt Bromberg enrolled in Medicare?

Yes. Burt Bromberg is registered in the Medicare PECOS enrollment system.

What insurance does Burt Bromberg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Burt Bromberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Burt Bromberg was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.