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DAVID L BLOOM PA NPI 1396738704


NPI Information

NPI: 1396738704
Provider Name: DAVID L BLOOM PA

Doing Business As: SEABROOK RADIOLOGICAL CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7401 FORBES BLVD STE A
SEABROOK, MD
ZIP 20706
Phone: (301) 464-6400
Get Directions

DAVID L BLOOM PA is a diagnostic radiology radiology in Seabrook, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DAVID L BLOOM PA NPI is 1396738704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Seabrook Radiological Center.

The provider's business location address is:

7401 FORBES BLVD STE A
SEABROOK, MD
ZIP 20706-288
Phone: (301) 464-6400
Fax: (301) 464-6404

The provider's authorized official is David L Bloom .
The authorized official title is Md and has the following contact phone number (973) 707-1100.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1035720400MEDICAIDDISTRICT OF COLUMBIA
2479721301MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.