Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey S Boberg DPM LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1639280290

Jeffrey S Boberg DPM LLC is a Foot & Ankle Surgery Podiatrist in Bridgeton, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12255 De Paul Dr Ste 100
Bridgeton, MO 63044-2510
Phone: (314) 739-7100
Fax: (314) 739-3199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 000570 (MO)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016004233 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 2005026457 (MO)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016005217 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 2003013610 (MO)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016005131 (IL)

Record details

NPI number1639280290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Boberg — President/Physician · (314) 739-7100
Other names Ankle & Foot Surgeons Of The Midwest
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 23, 2009
Mailing address12255 De Paul Dr, Ste 100, Bridgeton, MO 63044-2510

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