DR. KENNETH EVAN BLOOM DPM NPI 1811983372

NPI Details

DR. Kenneth Evan Bloom, DPM is a foot and ankle surgery podiatrist in Mooresville, NC with 31 years of experience. DR. Kenneth Evan Bloom, DPM NPI is 1811983372. 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:

137 PROFESSIONAL PARK DR
SUITE C
MOORESVILLE, NC
ZIP 28117-540
Phone: (704) 662-8336
Fax: (704) 662-8525

The NPI 1811983372 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• X-ray of foot, 2 views (HCPCS:73620)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Permanent removal fingernail or toenail (HCPCS:11750)
• Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following i (HCPCS:G0247)
• Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
• Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) (HCPCS:G0246)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/21/2005 and was last updated on 8/7/2023.

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:

Other Identifiers

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