Courtnay Willcox Bloomer, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

2014-01400 Issued in NC

Practice address

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520

Phone

(252) 967-1509

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NC, HI3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

Jefferson Medical College of Thomas Jefferson University, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians

Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians

John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians

County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
• Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
• Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
• John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

Merit-based Incentive Payment System (MIPS)

Final score

61 of 100Reported as group

Quality

59.41

Promoting interoperability

0

Improvement activities

40

Cost

71.45

Merit-based Incentive Payment System (MIPS)

Final score

83.63 of 100Reported as group

Quality

67.56

Improvement activities

40

Cost

71.56

Merit-based Incentive Payment System (MIPS)

Final score

83.33 of 100Reported as group

Quality

77.37

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.67 of 100Reported as group

Quality

84.1

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

Interoperability endpoints

• Direct secure messaging: cbloomer185295@santaclaravalley.direct-ci.net
• Direct secure messaging: cbloomer552622@hisp.ehr.sutterhealth.org

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.

• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1356597637

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• John Muir Magnetic Imaging Center

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
  • NPI 1235184110

  CA, Diagnostic Radiology, HI

  Medicare reassignment Care Compare group NPD
• John Muir Trauma Physicians Billing Service

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1093864837

  CA

  Medicare reassignment Care Compare group NPD
• Magnetic Imaging Affiliates, LLC

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1487040770

  CA, Diagnostic Radiology, HI

  Medicare reassignment Care Compare group NPD
• Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1134681067

  Diagnostic Radiology, HI

  Medicare reassignment Care Compare group NPD
• County of Santa Clara

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1588721500

  CA

  Medicare reassignment NPD
• County of Santa Clara

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1629301346

  CA

  Medicare reassignment NPD
• County of Santa Clara

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079

  CA

  Medicare reassignment NPD
• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786

  CA

  Medicare reassignment NPD
• Solano Diagnostics Partners a Calif Limited Partnership

  • Diagnostic Radiology Physician
  • Fairfield, CA
  • NPI 1811940661

  Diagnostic Radiology, HI

  Medicare reassignment NPD
• University of California SFGH Medical Group

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1063487122

  CA, Diagnostic Radiology

  Medicare reassignment NPD
• Queens North Hawaii Community Hospital

  • Orthopaedic Surgery Physician
  • Kamuela, HI
  • NPI 1528049814

  HI

  Medicare reassignment NPD

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

• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1437103777

  Hospital

  Care Compare affiliation
• John Muir Health

  • General Acute Care Hospital
  • Walnut Creek, CA
  • NPI 1740215219

  Hospital

  Care Compare affiliation
• John Muir Health

  • General Acute Care Hospital
  • Concord, CA
  • NPI 1801821376

  Hospital

  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1093764565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "252-967-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMER",
        "first_name": "COURTNAY",
        "middle_name": "WILLCOX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A103127",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2014-01400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "98050",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "2014-01400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer W Blattner, CNM, RN
• Joy Sokolski Bloch, M.D.
• Pamela Fleurette Bloch, MS, CCC-SLP
• Trina Itoye Block
• Renee Bloise
• Jessica Rene Bloomster
• Nicholas Alexander Blount
• Jennifer Blum, PSYD
• Kimberly M. Blumberg, M.D
• Isabella Blumin

• All providers in Walnut Creek, CA
• Neuroradiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.