Josephus TH Bloem, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

24225NC Issued in NC

Practice address

3101 Zebulon Rd
Rocky Mount, NC 27804

Phone

(252) 937-2663

Fax

(252) 937-4894

NPI assigned

Dec 16, 2005

Last updated

Mar 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Bloem Orthopaedic Center, P.a.

  • Orthopaedic Surgery Physician
  • Rocky Mount, NC
  • NPI 1285678904
  Authorized official Same address or phone

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1164408654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 ZEBULON RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-937-2663",
            "fax_number": "252-937-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 ZEBULON RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-937-2663",
            "fax_number": "252-937-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEM",
        "first_name": "JOSEPHUS",
        "middle_name": "TH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "24225",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "24225NC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890230W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7916305",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bissett Inc. (Amada Senior Care)
• Christian Blankenship
• N Bill Blaylock Jr., DDS
• Blazing Women of God Adult Group Home Inc.
• Bloem Orthopaedic Center, P.a.
• Kristin McGinnis Blonk, DNP, CRNA
• BN Healthcare, LLC (South Village)
• Crystal L Bobbitt, LMFTA
• Boice Willis Clinic PA (Boice-Willis Clinic Endoscopy Center)
• Boice-Willis Clinic PA

• Orthopaedic Surgery Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.