Paul Stewart Bloom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1662 Issued in WI

Practice address

7514 Whitacre Rd
Madison, WI 53717-1814

Phone

(608) 833-3367

Fax

(608) 833-3368

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1981

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Chiropractic, LLC

  • Chiropractor
  • Madison, WI
  • NPI 1508198466
  NPD (past) Authorized official
• Bloom Chiropractic, LLC

  • Chiropractor
  • Madison, WI
  • NPI 1609953876
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043322837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 WHITACRE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171814",
            "telephone_number": "608-833-3367",
            "fax_number": "608-833-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 WHITACRE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171814",
            "telephone_number": "608-833-3367",
            "fax_number": "608-833-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "PAUL",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Chiropractic, LLC
• Bloom Chiropractic, LLC
• Elizabeth Av Bloom, DPT
• Linda Bloom, PHD
• Margaret Claire Bloom, DNP, AG-ACNP
• Emily Bloomfield
• Blooming Grove, Burke, Maple Bluff EMS Ambulance District
• Blossoming Wellness, LLC
• Blue Feather Psychotherapy, LLC
• Blue River Chiropractic LLC

• Chiropractor in Madison, WI
• Providers in Madison, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.