Richard R. Bloom M.D. Llc

LBN: Richard R. Bloom M.D. Llc
Richard R. Bloom M.D. Llc is an health care organization with primary practice located at 1900 5Th Ave , Columbus GA 31904-8916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Richard R. Bloom M.D. Llc can be contacted via phone (706) 576-4474, or through Bloom, Richard Richardo via phone (706) 576-4474.

Contact Information

Primary practice address
1900 5Th Ave Columbus GA 31904-8916
Phone: (706) 576-4474
Fax: (706) 576-5940
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Richard Richardo Doctor of Medicine (MD)
Phone: (706) 576-4474

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1831273259
LBN Legal business name Richard R. Bloom M.D. Llc
DBA Doing business as
Authorized official Bloom, Richard Richardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 3rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831273259 NPPES
Georgia MEDICAID 312282
Georgia MEDICAID 00476693

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