O Josh Bloom is a Sports Medicine in Durham, North Carolina. O Josh Bloom practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for O Josh Bloom is 1588618573. The last update date is 2013-05-02.
O Josh Bloom's current location address is 5213 S Alston Ave, Durham, North Carolina. You can contact this provider via phone number 9196848111. The mailing address for O Josh Bloom is 5213 S Alston Ave, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | O Josh Bloom |
|---|---|
| Address | 5213 S Alston Ave, Durham, North Carolina |
| Phone Number | 9196848111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588618573 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2013-05-02 |
Provider Mailing Address Detail
| Address | 5213 S Alston Ave |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277134430 |
| Phone Number | 9196848111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 2001-00839 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136MP | NC | BCBS |
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What is the O Josh Bloom's 1588618573?
The O Josh Bloom's NPI (National Provider Identifier) Number is 1588618573. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the O Josh Bloom located?
The O Josh Bloom is located at 5213 S Alston Ave, Durham, NC 277134430.
What is O Josh Bloom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for O Josh Bloom is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588618573 to O Josh Bloom?
The Centers for Medicare & Medicaid Services originally issued the 1588618573 to O Josh Bloom on 2006-05-22.
As of what date was the information regarding O Josh Bloom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to O Josh Bloom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-02.
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