Dr. Fred A Bloom, MD
Psychiatry & Neurology, Psychiatry in Waterville, Maine
1104822881- Practice location
- 67 Silver Street, Waterville, ME 04901
- Phone
- 207-873-1636
- Fax
- —
- Last updated
- July 9, 2007
Fred A. Bloom is a Psychiatry & Neurology, Psychiatry based in Waterville, ME. Fred A. Bloom practices in Waterville, ME and has the professional credentials of MD. The NPI Number for Fred A. Bloom is 1104822881 and holds a License No. 007673 (ME). The current practice location address for Fred A. Bloom is 67 Silver Street, Waterville, ME 04901 and can be reached out via phone at 207-873-1636.
Provider Profile Details
- NPI Number
- 1104822881
- Provider Name
- Fred A. Bloom
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 67 Silver Street, Waterville, ME 04901
- Phone Number
- 207-873-1636
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 27, 2005
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Silver Street
Waterville, ME 04901 - City
- Waterville
- State
- Maine
- Zip
- 04901
- Phone Number
- 207-873-1636
Provider Business Mailing Address Details
- Address
- 67 Journey'S End RD.
Mt. Vernon, ME 04352 - City
- Mt. Vernon
- State
- ME
- Zip
- 04352
- Phone Number
- 207-873-1636
License Information
- License Number
- 007673
- License State
- ME
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Fred A Bloom, MD?
The NPI number of Dr. Fred A Bloom, MD is 1104822881. It was assigned on June 27, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Fred A Bloom, MD?
Dr. Fred A Bloom, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in ME under license number 007673.
Where does Dr. Fred A Bloom, MD practice?
The practice location is 67 Silver Street, Waterville, ME 04901. The office can be reached at 207-873-1636 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104822881 directly on the NPPES registry website.