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

DR. GORDON R BLOOMBERG MD
NPI 1619993920
Pediatrics - Pediatric Allergy/Immunology in Saint Louis, MO

Active since July 14, 2006
1 CHILDRENS PL, STE 5S30, SAINT LOUIS, MO 63110(314) 454-2694(314) 454-2515 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gordon R Bloomberg Md NPPES

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

DR. GORDON R BLOOMBERG MD (NPI 1619993920) is an individual pediatric allergy/immunology provider in Saint Louis, Missouri, licensed in Missouri (R2406) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619993920
Entity TypeIndividualMale
Primary Taxonomy2080P0201X
Provider Legal NameDR. GORDON R BLOOMBERGCredential: MD
Location Address1 CHILDRENS PL, STE 5S30Saint Louis, MO 63110-1002
Mailing Address1 Childrens Pl, C B 8116Saint Louis, MO 63110-1002 · (314) 454-2694 · Fax (314) 454-2515
Phone(314) 454-2694
Fax(314) 454-2515
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 4, 2015
✔ NPI 1619993920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in MO · R2406
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
1 CHILDRENS PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 3

Medicaid103810076MO
Medicare PIN103810076MO
Medicaid1737758MS

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.

ARIE BAKER MSW, LCSW
Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
St. Louis City (314) 747-6169
HANNAH EDELMAN MD, PHD
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
SUSAN CHEUNG WALSH AUD
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4649
MS. JENNIFER MARIE JACOBI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
MS. EMILY LINCOLN RN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6000
MS. MARISSA ROSE PEREZ-MAGNELLI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
DR. WILLIAM L RIVES MD
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
DR. PETER M KILBRIDGE MD
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2479

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 Gordon Bloomberg's NPI number?

The NPI number for Gordon Bloomberg is 1619993920. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Gordon Bloomberg located?

Gordon Bloomberg practices at 1 Childrens Pl Ste 5s30, Saint Louis, MO 63110. The listed phone number is (314) 454-2694.

What is Gordon Bloomberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

When was this NPI record last updated?

The NPPES record for Gordon Bloomberg was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.