Jeffrey S Boberg DPM LLC
NPI 1639280290ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Bridgeton, MO
Podiatrist, Foot & Ankle Surgery in Bridgeton, Missouri, registered in NPPES in August 2006. The authorized official on file is Jeffrey S. Boberg, DPM, President/Physician.
Overview
| NPI | 1639280290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Nov 23, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 000570 | MO |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 016004233 | IL |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 2005026457 | MO |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 016005217 | IL |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 2003013610 | MO |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 016005131 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Podiatrist, Foot & Ankle Surgery providers in Bridgeton
- 1144963174
- 1558658146
- 1235868860
- 1093366064
- 1093890055
- 1871489773
- 1346773348
- 1194354555
- 1346241155
- 1790575512
- 1588667497
- 1639741945
All Podiatrist, Foot & Ankle Surgery providers in Missouri →