BRADLEY J BLOOM MD NPI 1568643096

NPI Information

NPI: 1568643096
Provider Name: BRADLEY J BLOOM, MD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

Address:
1 HOPPIN ST
CORO WEST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 793-8560
Get Directions

Bradley J Bloom, MD is a pediatric rheumatology pediatrics in Providence, RI. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Bradley J Bloom, MD NPI is 1568643096. 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:

1 HOPPIN ST
CORO WEST
PROVIDENCE, RI
ZIP 02903-141
Phone: (401) 793-8560
Fax: (401) 793-8561

The enumeration date for this NPI number is 11/27/2007 and was last updated on 2/29/2008.

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
1	2080P0216X	Pediatrics	Pediatric Rheumatology	MD08885	RHODE ISLAND	Yes

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
1	MD08885	OTHER	RHODE ISLAND	LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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