DR. JASON DAVID BLOOM MD NPI 1184780108

NPI Information

  • NPI: 1184780108
  • Provider Name: DR. JASON DAVID BLOOM, MD
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 TOWN PL STE 110
    BRYN MAWR, PA
    ZIP 19010
  • Phone: (610) 762-5666

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NPI Details

DR. Jason David Bloom, MD is an otolaryngology/facial plastic surgery otolaryngology in Bryn Mawr, PA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Jason David Bloom, MD NPI is 1184780108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 TOWN PL STE 110
BRYN MAWR, PA
ZIP 19010-420
Phone: (610) 762-5666
Fax: (484) 380-3550

The NPI 1184780108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 12/9/2021.

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
1207Y00000XOtolaryngologyMT186824PENNSYLVANIANo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery256050NEW YORKNo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD432401PENNSYLVANIAYes

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: 11/21/2025

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