Martin G. Bloom, MD, PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME27887 Issued in FL

Legal business name

MARTIN G. BLOOM, MD, PA

Practice address

3100 S Federal Hwy
Suite J
Delray Beach, FL 33483-3222

Phone

(561) 257-2519

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Martin G Bloom, M.D.NPI 1487760732

Title

Owner

Phone

(561) 257-2519

Specialties & licenses 1

Addresses

Other names 1

• The Biostation Other name

Tax ID family

Martin G Bloom MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martin G. Bloom, MD, PA

  • Non-Pharmacy Dispensing Site
  • Boca Raton, FL
  • NPI 1437543469
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Glenn Bloom, MD

  • Cardiovascular Disease Physician
  • Delray Beach, FL
  • NPI 1487760732
  NPD (past) Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1144613423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S FEDERAL HWY",
            "address_2": "SUITE J",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833222",
            "telephone_number": "561-257-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S FEDERAL HWY",
            "address_2": "SUITE J",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833222",
            "telephone_number": "561-257-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN G. BLOOM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-257-2519",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME27887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Biostation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlen Hennessey Martell, PA-C
• Richard D Martello, MD
• Tara Marie Martello, MS, OTRL
• Martin E Karns PA
• Martin G Bloom MD PA
• Abigail Martin, RMHCI
• Bruce Richard Martin, MD
• Kirsten Marie Martin, MS
• Yessenia L. Martin, CRNA
• Maria Eugenia Martinez Garcia, RBT

• Non-Pharmacy Dispensing Site in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.