Bloom, O Josh

Bloom, O Josh is an individual health care provider with primary practice located at 3700 Nw Cary Pkwy Ste 110, Cary NC 27513-8446. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bloom, O Josh can be contacted via phone (919) 238-2000.

Contact Information

Primary practice address
3700 Nw Cary Pkwy Ste 110 Cary NC 27513-8446
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001-00839 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2001-00839 North Carolina

Profile Details

NPI number 1588618573
LBN Legal business name Bloom, O Josh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated May 2nd, 2013 - about 11 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 1588618573 NPPES
North Carolina Other 136MP BCBS

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