Provider Type Icon

DR. JASON MICHAEL BLOOMBERG M.D. NPI 1588772115


NPI Information

NPI: 1588772115
Provider Name: DR. JASON MICHAEL BLOOMBERG, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3100 HENDERSON DR
SUITE 9
CHEYENNE, WY
ZIP 82001
Phone: (307) 426-4673
Get Directions

DR. Jason Michael Bloomberg, M.D. is a family medicine in Cheyenne, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jason Michael Bloomberg, M.D. NPI is 1588772115. 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:

3100 HENDERSON DR
SUITE 9
CHEYENNE, WY
ZIP 82001-846
Phone: (307) 426-4673
Fax: (307) 426-4674

The enumeration date for this NPI number is 8/25/2006 and was last updated on 5/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine6713AWYOMINGNo
2207Q00000XFamily Medicine22927NEBRASKANo
3207Q00000XFamily Medicine11910NEVADANo
4207VX0000XObstetrics & GynecologyObstetrics11910NEVADANo
5207P00000XEmergency Medicine22927NEBRASKANo
6207P00000XEmergency Medicine11910NEVADANo
7207QB0002XFamily MedicineObesity Medicine6713AWYOMINGNo
8207Q00000XFamily Medicine6713AWYOMINGYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11005509998MEDICAIDNEVADA
24378998MEDICARE ID-TYPE UNSPECIFIEDWYOMINGGROUP #
3H76976MEDICARE UPINNEVADA
4H76976MEDICARE UPINWYOMING
5H76976MEDICARE UPINNEBRASKA
6119416000MEDICAIDWYOMING
7WQBHV120739MEDICARE ID-TYPE UNSPECIFIEDNEVADA
8100509999MEDICAIDNEVADA

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

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.