GORDON R. BLOOMBERG MD – NPI #1619993920
Pediatrics
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
GORDON BLOOMBERG is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1619993920 to GORDON BLOOMBERG on July 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology
The NPI profile was previously updated about 11 years ago on Nov 04, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GORDON BLOOMBERG below.
NPI Profile for
GORDON R. BLOOMBERG
(about 20 years ago)
STE 5S30
SAINT LOUIS, MO 63110-1002 Phone: (314) 454-2694 Fax: (314) 454-2515
Identifiers for GORDON BLOOMBERG
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MO | 103810076 | |
| MEDICAID | MS | 1737758 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2080P0201X - Pediatrics / Pediatric Allergy/Immunology (Primary) |
MO | R2406 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.