Bradley J Bloom, MD
Pediatrics, Pediatric Rheumatology in Providence, Rhode Island
1568643096- Practice location
- 1 Hoppin St, Coro West, Providence, RI 02903-4141
- Phone
- 401-793-8560
- Fax
- 401-793-8561
- Last updated
- February 29, 2008
Bradley J Bloom is a Pediatrics, Pediatric Rheumatology based in Providence, RI. Bradley J Bloom practices in Providence, RI and has the professional credentials of MD. The NPI Number for Bradley J Bloom is 1568643096 and holds a License No. MD08885 (RI). The current practice location address for Bradley J Bloom is 1 Hoppin St, Coro West, Providence, RI 02903-4141 and can be reached out via phone at 401-793-8560 and via fax at 401-793-8561.
Provider Profile Details
- NPI Number
- 1568643096
- Provider Name
- Bradley J Bloom
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Hoppin St, Coro West, Providence, RI 02903-4141
- Phone Number
- 401-793-8560
- Fax Number
- 401-793-8561
- Primary Taxonomy
- Pediatrics, Pediatric Rheumatology · 2080P0216X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 27, 2007
- Last Update Date
- February 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Hoppin St
Coro West
Providence, RI 02903-4141 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4141
- Phone Number
- 401-793-8560
- Fax Number
- 401-793-8561
Provider Business Mailing Address Details
- Address
- 593 Eddy St
Hasbro 122
Providence, RI 02903-4923 - City
- Providence
- State
- RI
- Zip
- 02903-4923
- Phone Number
- 401-444-6484
- Fax Number
- 401-444-6378
License Information
- License Number
- MD08885
- License State
- RI
- Taxonomy
- Pediatrics, Pediatric Rheumatology · 2080P0216X · 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 Bradley J Bloom, MD?
The NPI number of Bradley J Bloom, MD is 1568643096. It was assigned on November 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Bradley J Bloom, MD?
Bradley J Bloom, MD is registered under the primary taxonomy Pediatrics, Pediatric Rheumatology (code 2080P0216X), licensed in RI under license number MD08885.
Where does Bradley J Bloom, MD practice?
The practice location is 1 Hoppin St, Coro West, Providence, RI 02903-4141. The office can be reached at 401-793-8560 (phone) or 401-793-8561 (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 1568643096 directly on the NPPES registry website.