Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jeffrey S Boberg Dpm LLC

Foot & Ankle Surgery Podiatrist in Bridgeton, MO · enumerated 2006 · authorized official Jeffrey Boberg, President/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639280290

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Registry record

Entity type Organization (Type 2)

Legal business name Jeffrey S Boberg Dpm LLC

Other name <Unavail>

Practice address 12255 De Paul Dr, Ste 100, Bridgeton, MO, 63044

Phone (314) 739-7100

Fax (314) 739-3199

Enumeration date Aug 31, 2006

Last updated in NPPES Nov 23, 2009

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 000570 (MO) Primary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 016004233 (IL) Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 2005026457 (MO) Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 016005217 (IL) Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 2003013610 (MO) Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 016005131 (IL) Secondary

Authorized official

Name Jeffrey Boberg

Title President/Physician

Phone (314) 739-7100

Other identifiers

Identifier	Type	State	Issuer
500008107	Medicaid	MO	-
DC4793	Other	IL	RAILROAD MEDICARE
DA9953	Other	MO	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Jeffrey S Boberg Dpm LLC located?

The practice location on file with NPPES is in Bridgeton, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-11-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-23.