Bloom, Brian P

Bloom, Brian P is an individual health care provider with primary practice located at 4520 Union Deposit Rd , Harrisburg PA 17111-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bloom, Brian P can be contacted via phone (717) 652-6105.

Contact Information

Primary practice address
4520 Union Deposit Rd Harrisburg PA 17111-2910
Phone: (717) 652-6105
Fax: (717) 652-8152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD06226L Pennsylvania

Profile Details

NPI number 1093708570
LBN Legal business name Bloom, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Sep 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093708570 NPPES
Pennsylvania Other 300084078 RAILROAD MEDICARE
Pennsylvania MEDICAID 0016867280014 RAILROAD MEDICARE
Pennsylvania MEDICAID 0016867280011 RAILROAD MEDICARE
Pennsylvania MEDICAID 0016867280001 RAILROAD MEDICARE
Pennsylvania MEDICAID 0016867280002 RAILROAD MEDICARE
Pennsylvania MEDICAID 0016867280015 RAILROAD MEDICARE

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