Craig Y. Bloom,DMD, Richard M.a. Berger,DDS & Bryan R. Krey, DMD, Apc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

31571 Issued in CA

Legal business name

CRAIG Y. BLOOM,DMD, RICHARD M.A. BERGER,DDS & BRYAN R. KREY, DMD, APC

Practice address

2522 Dana St
Suite 202
Berkeley, CA 94704-2895

Phone

(510) 848-1055

Fax

(510) 848-1055

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Craig Yale Bloom, D.M.D.

Title

President

Phone

(510) 848-1055

Specialties & licenses 1

Addresses

Other names 1

• Berkeley Oral Surgery Doing business as

Practitioners 1

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

• Richard M.a. Berger, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Berkeley, CA
  • NPI 1588735245
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1194057174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 DANA ST",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042895",
            "telephone_number": "510-848-1055",
            "fax_number": "510-848-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 DANA ST",
            "address_2": "SUITE 202",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042895",
            "telephone_number": "510-848-1055",
            "fax_number": "510-848-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG Y. BLOOM,DMD, RICHARD M.A. BERGER,DDS & BRYAN R. KREY, DMD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "YALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-848-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "31571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Sunrise Cowles, MSW, ASW
• Hannah Cozad
• CPSC
• Angela Kaila Craddock
• Craig Fischer, MD Medical Corporation
• Craig Y. Bloom,DMD,Richard M.a. Berger, DDS, Bryan R. Krey, DMD,Apc &
• Tanay Maeve Craig, NP
• Kathy Ann Cramer, LCSW
• Sherry I Crandon, PHD
• Tristan Alex Crane

• Oral and Maxillofacial Surgery (Dentist) in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.