Bradley J Bloom
MD | Pediatric Rheumatology | Male
Bradley J Bloom, MD is a Providence, Rhode Island based Pediatric doctor with medical specialization in
Pediatric Rheumatology.
Current practice location of Bradley J Bloom is
1 Hoppin St, Coro West, Providence, Rhode Island - 02903-4141. He can be contacted on phone at
401-793-8560 and fax number 401-793-8561.
Bradley J Bloom is a sole proprietor of his business.
NPI number (Unique professional ID) for Bradley J Bloom is
1568643096 which was assigned by NPPES on 27 Nov, 2007 and it was last updated on 29 Feb, 2008.
Bradley J Bloom license number is
MD08885 for Pediatrics Pediatric Rheumatology (2080P0216X) in Rhode Island.
Bradley J Bloom 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.
Complete Profile:
Bradley J Bloom basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Rheumatology |
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| Provider Name : | Bradley J Bloom |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Bradley J Bloom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Hoppin St, Coro West
Providence, RI, 02903-4141
United States |
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| Phone Number : | 401-793-8560 |
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| Fax Number : | 401-793-8561 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568643096 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Nov, 2007 |
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| Last Updated On : | 29 Feb, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley J Bloom are as mentioned. Primary taxonomy code for Bradley J Bloom, MD is
2080P0216X (Pediatrics Pediatric Rheumatology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0216X | Pediatrics Pediatric Rheumatology | Yes | MD08885 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Bradley J Bloom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| MD08885 | Other | RI | LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 593 Eddy St, Hasbro 122
Providence, RI, 02903-4923
United States |
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| Phone Number : | 401-444-6484 |
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| Fax Number : | 401-444-6378 |
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Business Location:
Patients can refer following map for directions to
Bradley J Bloom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.