Individual provider Active NPI

Howard Aaron Bloom, D.C., C.C.E.P.

  • Chiropractor
  • Churchville, PA
National Provider Identifier
1144273319
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002091L Issued in PA
Practice address
120 Bustleton Pike
Churchville, PA 18966-1508
Phone
(215) 322-1300
Fax
(215) 322-5301
NPI assigned
May 18, 2006
Last updated
Mar 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002091L PA Primary
Sports Physician Chiropractor 111NS0005X DC002901L PA
Rehabilitation Chiropractor 111NR0400X DC002901L PA

Addresses

Primary practice location

120 Bustleton Pike
Churchville, PA 18966-1508

Mailing address

120 Bustleton Pike
Churchville, PA 18966-1508
Phone (215) 322-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002091LPAMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1144273319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BUSTLETON PIKE",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661508",
            "telephone_number": "215-322-1300",
            "fax_number": "215-322-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BUSTLETON PIKE",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661508",
            "telephone_number": "215-322-1300",
            "fax_number": "215-322-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "HOWARD",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "D.C., C.C.E.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002091L",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC002901L",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC002901L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Churchville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.