Active NPIIndividual provider

Brooke E Bloom, DO

Psychiatry & Neurology, Neurology in Worcester, Massachusetts

NPI Number1336609775
Practice location
123 Summer St Ste 230S, Worcester, MA 01608-1216
Fax
508-368-3152
Last updated
October 31, 2024

Brooke Elizabeth Bloom is a Psychiatry & Neurology, Neurology based in Worcester, MA. Brooke Elizabeth Bloom practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Brooke Elizabeth Bloom is 1336609775 and holds a License No. 73735 (CT). The current practice location address for Brooke Elizabeth Bloom is 123 Summer St Ste 230S, Worcester, MA 01608-1216 and can be reached out via phone at 508-368-3150 and via fax at 508-368-3152.

Provider Profile Details

NPI Number
1336609775
Provider Name
Brooke Elizabeth Bloom
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
123 Summer St Ste 230S, Worcester, MA 01608-1216
Phone Number
508-368-3150
Fax Number
508-368-3152
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Provider Enumeration Date
March 21, 2019
Last Update Date
October 31, 2024
Certification Date
October 31, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer St Ste 230S
Worcester, MA 01608-1216
Zip
01608-1216
Phone Number
508-368-3150
Fax Number
508-368-3152
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
123 Summer St Ste 230S
Worcester, MA 01608-1216
City
Worcester
State
MA
Zip
01608-1216
Phone Number
508-368-3150
Fax Number
508-368-3152

License Information

License Number (1)
73735
License State (1)
CT
Taxonomy (1)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (2)
1019879
License State (2)
MA
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Brooke E Bloom, DO?

The NPI number of Brooke E Bloom, DO is 1336609775. It was assigned on March 21, 2019 and is currently active in the NPPES registry.

What is the specialty of Brooke E Bloom, DO?

Brooke E Bloom, DO is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in CT under license number 73735.

Where does Brooke E Bloom, DO practice?

The practice location is 123 Summer St Ste 230S, Worcester, MA 01608-1216. The office can be reached at 508-368-3150 (phone) or 508-368-3152 (fax).

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 1336609775 directly on the NPPES registry website.

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