BROMBERG, BURT I - Licensee Information

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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT

BROMBERG, BURT I

Practice Address:	MERCY CLINIC CHILDRENS HEART CENTER 621 SOUTH NEW BALLAS ROAD #198A ST. LOUIS MO 63141 Address last updated on 10/2/2019
Phone #:	(314) 251-6777
Fax #:
County:	NOT OKLAHOMA
License:	29163
Dated:	7/3/2012
Expires:	1/30/2021
License Type:	Medical Doctor
Specialty:	Pediatric Cardiology

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	UNIV OF SOUTH AL COLL OF MED, MOBILE AL 36688
Graduated:	6 / 1981
CME Year:	2021

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF PEDIATRICS - Pediatric Cardiology
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Mercy Hospital Ada (frmly Valley View Regional Hospital) Ada, OK Mercy Hospital OKC Oklahoma City, OK Mercy Memorial Health Center, Inc. - Ardmore Ardmore, OK

Locations:	Hours:	Languages:
MERCY CLINIC CHILDRENS HEART CENTER 621 SOUTH NEW BALLAS ROAD #198A ST. LOUIS MO 63141 Phone #: (314) 251-6777 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun: