ANKLE & FOOT SURGEONS OF THE MIDWEST
NPI 1639280290
Podiatrist - Foot & Ankle Surgery in Bridgeton, MO

Q: What is Jeffrey S Boberg Dpm LLC's NPI number?

The NPI number for Jeffrey S Boberg Dpm LLC is 1639280290. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Ankle & Foot Surgeons Of The Midwest.

Q: What is Jeffrey S Boberg Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since August 31, 2006

12255 DE PAUL DR, STE 100, BRIDGETON, MO 63044(314) 739-7100(314) 739-3199 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ankle & Foot Surgeons Of The Midwest NPPES

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

ANKLE & FOOT SURGEONS OF THE MIDWEST (NPI 1639280290) is a healthcare organization registered as a foot & ankle surgery in Bridgeton, Missouri and active in the NPI registry since August 2006. The organization lists Jeffrey S Boberg, President/physician, as its authorized official.

NPPES Registry Identity

NPI1639280290

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameJEFFREY S BOBERG DPM LLC

Location Address12255 DE PAUL DR, STE 100Bridgeton, MO 63044-2510

Mailing Address12255 De Paul Dr, Ste 100Bridgeton, MO 63044-2510 · (314) 739-7100 · Fax (314) 739-3199

Phone(314) 739-7100

Fax(314) 739-3199

Organization SubpartNo

Authorized OfficialJeffrey S BobergPresident/physician · (314) 739-7100

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 23, 2009

✔ NPI 1639280290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in MO · 000570✔ Licensed in IL · 016004233✔ Licensed in MO · 2005026457✔ Licensed in IL · 016005217✔ Licensed in MO · 2003013610✔ Licensed in IL · 016005131

12255 DE PAUL DR, Bridgeton, MO 63044

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Other Names 1

Doing Business AsAnkle & Foot Surgeons Of The Midwest

Other Identifiers 6

Medicaid500008107MO

OtherDC4793IL · Railroad Medicare

OtherDA9953MO · Railroad Medicare

Medicare PIN000014113MO

Medicare NSC5031350001MO

Medicare PIN207965IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

SSM DEPAUL MEDICAL GROUP, INC.

Family Medicine

12255 DE PAUL DR, SUITE 200
BRIDGETON, MO 63044

St. Louis County (314) 344-7600

NORTH COUNTY NEUROSURGERY, INC

Neurological Surgery

12255 DE PAUL DR, SUITE 830
BRIDGETON, MO 63044

St. Louis County (314) 291-6556

HORIZON BEHAVIORAL HEALTH LLC

Psychiatry & Neurology (Psychiatry)

12255 DE PAUL DR, SUITE 490
BRIDGETON, MO 63044

St. Louis County (314) 344-7770

CHRISTINA M HAWTHORNE DPM

Podiatrist (Foot & Ankle Surgery)

12255 DE PAUL DR, STE 470
BRIDGETON, MO 63044

St. Louis County (314) 739-8863

LISA B RING MD

Dermatology

12255 DE PAUL DR, #845
BRIDGETON, MO 63044

St. Louis County (314) 344-0004

ROBERT BYRNE M.D.

Internal Medicine

12255 DE PAUL DR, SUITE 700
BRIDGETON, MO 63044

St. Louis County (314) 739-4166

MRS. ISABEL LEVINE ROSENBLOOM M.D.

Pediatrics

12255 DE PAUL DR, SUITE 490
BRIDGETON, MO 63044

St. Louis County (314) 291-7766

SSM DEPAUL MEDICAL GROUP, INC.

Neurological Surgery

12255 DE PAUL DR, SUITE 830
BRIDGETON, MO 63044

St. Louis County (314) 291-6556

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 Jeffrey S Boberg Dpm LLC's NPI number?

The NPI number for Jeffrey S Boberg Dpm LLC is 1639280290. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Ankle & Foot Surgeons Of The Midwest.

Where is Jeffrey S Boberg Dpm LLC located?

Jeffrey S Boberg Dpm LLC is located at 12255 De Paul Dr Ste 100, Bridgeton, MO 63044. The listed phone number is (314) 739-7100.

What is Jeffrey S Boberg Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Jeffrey S Boberg Dpm LLC was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.