DEIDRE BLOOM M.D. – NPI #1629493713
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

DEIDRE BLOOM is a physician located in HIXSON, TN. NPPES has assigned the NPI number 1629493713 to DEIDRE BLOOM on February 26, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name DEDRE SUMIDA. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEIDRE BLOOM below.

NPI Profile for
DEDRE SUMIDA

NPI Number
1629493713
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEDRE SUMIDA
Professional Name: DEIDRE BLOOM
Credentials
M.D.
Primary location
2051B HAMILL RD STE 107
HIXSON, TN 37343-4092
Phone: (423) 877-4705 Fax: (423) 877-9970
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
TN 28047

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.