JEFFREY S BOBERG DPM LLC
JEFFREY S BOBERG DPM LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1639280290, based in Bridgeton, MO. It is classified under Foot & Ankle Surgery Podiatrist.
Getting there
The practice address on file is 12255 DE PAUL DR STE 100, Bridgeton, MO 63044. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 000570 | MO | Foot & Ankle Surgery Podiatrist primary |
| 016005217 | IL | Foot & Ankle Surgery Podiatrist |
| 2003013610 | MO | Foot & Ankle Surgery Podiatrist |
| 016005131 | IL | Foot & Ankle Surgery Podiatrist |
| 016004233 | IL | Foot & Ankle Surgery Podiatrist |
| 2005026457 | MO | Foot & Ankle Surgery Podiatrist |
Licences are recorded in 2 states: MO, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Missouri. The practice address on file is in Bridgeton, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 000570
- Specialty
- Foot & Ankle Surgery Podiatrist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Foot & Ankle Surgery covers
Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0103X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 000570 | MO | primary |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 016005217 | IL | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 2003013610 | MO | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 016005131 | IL | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 016004233 | IL | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 2005026457 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1639280290 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 31, 2006 |
| Last updated | Nov 23, 2009 |
| Status | Active |
| Practice address |
12255 DE PAUL DR STE 100 Bridgeton, MO 63044 (314) 739-7100 Fax (314) 739-3199 |
| Other identifiers |
500008107
(MO) DC4793 · RAILROAD MEDICARE (IL) DA9953 · RAILROAD MEDICARE (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 3 | 9 | 2 | 8 | 0 | 2 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 4 | 8 | 0 | 2 | 9 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.