NPIMap

Individual provider Active NPI

Brian P Bloom, MD

  • Diagnostic Radiology Physician
  • Harrisburg, PA
National Provider Identifier
1093708570
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD06226L Issued in PA
Practice address
4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone
(717) 652-6105
Fax
(717) 652-8152
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD06226L PA Primary

Addresses

Primary practice location

4520 Union Deposit Rd
Harrisburg, PA 17111-2910

Mailing address

4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 652-6105

Other identifiers 6

IdentifierTypeStateIssuer
300084078OtherPARAILROAD MEDICARE
0016867280014MedicaidPA
0016867280011MedicaidPA
0016867280001MedicaidPA
0016867280002MedicaidPA
0016867280015MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000013 PA Practitioner - Diagnostic Radiology 1759321722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 531-4094

500 Universidy Dr
Hershey, PA 17033-2360

Hospital & facility affiliations

  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD06226LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince May 7, 2025 Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
The Milton S Hershey Medical Center Physician Group Diagnostic Radiology CurrentSince Nov 1, 2016 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC PastSince Dec 9, 2019 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

4518 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 526-1030

4520 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 652-6105

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

1 Lemoyne Sq
Ste 201
Lemoyne, PA 17043
Phone (717) 737-4511

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

611 University Dr
#611
State College, PA 16801
Phone (814) 234-2600

611 University Dr
State College, PA 16801
Phone (814) 234-2600

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1093708570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112910",
            "telephone_number": "717-652-6105",
            "fax_number": "717-652-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112910",
            "telephone_number": "717-652-6105",
            "fax_number": "717-652-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD06226L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300084078",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016867280014",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016867280011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016867280001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016867280002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016867280015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.