Organization Active NPI

David L Bloom PA

Doing business as Accessible MRI of Montgomery County

  • Diagnostic Radiology Physician
  • Silver Spring, MD
National Provider Identifier
1134113442
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DAVID L BLOOM PA
Doing business as
Accessible MRI of Montgomery County
Practice address
1010 Wayne Ave
Suite 151
Silver Spring, MD 20910-5600
Phone
(301) 495-4674
Fax
(301) 495-5526
NPI assigned
Sep 1, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David L Bloom, MD
Title
MD
Phone
(973) 707-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD Primary

Addresses

Primary practice location

1010 Wayne Ave
Suite 151
Silver Spring, MD 20910-5600

Mailing address

1430 Spring Hill Rd
Suite 500
MC Lean, VA 22102-3000
Phone (703) 287-4189

Other identifiers 2

IdentifierTypeStateIssuer
035720400MedicaidDC
479721302MedicaidMD

Other names 1

  • Accessible MRI of Montgomery County Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134113442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL RD",
            "address_2": "SUITE 500",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023000",
            "telephone_number": "703-287-4189",
            "fax_number": "703-448-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WAYNE AVE",
            "address_2": "SUITE 151",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105600",
            "telephone_number": "301-495-4674",
            "fax_number": "301-495-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L BLOOM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-707-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035720400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479721302",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accessible MRI of Montgomery County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.