BRADLEY J. BLOOM MD – NPI #1568643096
Pediatrics

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.

BRADLEY BLOOM is a physician located in PROVIDENCE, RI. NPPES has assigned the NPI number 1568643096 to BRADLEY BLOOM on November 27, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0216X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Rheumatology

The NPI profile was previously updated about 18 years ago on Feb 29, 2008. 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 BRADLEY BLOOM below.

NPI Profile for
BRADLEY J. BLOOM

NPI Number
1568643096
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRADLEY J. BLOOM
Credentials
MD
Primary location
1 HOPPIN ST
CORO WEST
PROVIDENCE, RI 02903-4141
Phone: (401) 793-8560 Fax: (401) 793-8561
Mailing address
593 EDDY ST
HASBRO 122
PROVIDENCE, RI 02903-4923
Phone: (401) 444-6484 Fax: (401) 444-6378
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRADLEY BLOOM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSERIMD08885
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
2080P0216X
- Pediatrics / Pediatric Rheumatology (Primary)
RI MD08885

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.