Nicole Bloor, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

80960 Issued in MA

Legal business name

NICOLE BLOOR, M.D., P.C.

Practice address

727 Main St
Melrose, MA 02176-2707

Phone

(781) 662-2204

Fax

(781) 662-2253

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Nicole Anne Bloor, M.D.

Title

President

Phone

(781) 662-2204

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Hoai Nu T Vo, M.D.

  • Internal Medicine Physician
  • Wilmington, MA
  • NPI 1104813500
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1275660680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762707",
            "telephone_number": "781-662-2204",
            "fax_number": "781-662-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762707",
            "telephone_number": "781-662-2204",
            "fax_number": "781-662-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE BLOOR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "BLOOR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-662-2204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17510",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700480",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Melrose, MA
• Providers in Melrose, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.