Bradley J Bloom in Providence - Pediatric Rheumatology

Bradley J Bloom - NPI 1568643096

Bradley J Bloom is a Pediatric Rheumatology in Providence, Rhode Island. Bradley J Bloom practices all healthcare services and medical treatments related to Pediatric Rheumatology. The NPI Number for Bradley J Bloom is 1568643096. The last update date is 2008-02-29.

Bradley J Bloom's current location address is 1 Hoppin St, Providence, Rhode Island. You can contact this provider via phone number 4017938560 and fax number 4017938561. The mailing address for Bradley J Bloom is 1 Hoppin St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley J Bloom
Address 1 Hoppin St, Providence, Rhode Island
Phone Number 4017938560
Fax Number 4017938561
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1568643096
Provider Enumeration Date 2007-11-27
Last Updated Date 2008-02-29

Provider Mailing Address Detail

Address 1 Hoppin St
City Providence
State Rhode Island (RI)
Post Code 29034141
Phone Number 4017938560
Fax Number 4017938561

Provider's Primary Taxonomy Detail

Speciality Pediatric Rheumatology
Taxonomy 2080P0216X
Licence No MD08885
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD08885 RI LICENSE

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FAQs about Bradley J Bloom

What is the unique identifier code issued to Bradley J Bloom by the Centers for Medicare & Medicaid Services?

The Bradley J Bloom has been assigned the NPI (National Provider Identifier) 1568643096. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Bradley J Bloom is physically located?

The Bradley J Bloom is physically situated at the following address: 1 Hoppin St, Providence, RI, 29034141.

What is Bradley J Bloom's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bradley J Bloom's area of specialization is Pediatric Rheumatology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0216X.

On what date was the 1568643096 assigned to Bradley J Bloom?

The Bradley J Bloom was issued its 1568643096 on 2007-11-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Bradley J Bloom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bradley J Bloom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-29.

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