Organization Active NPI

Bloem Orthopaedic Center, P.a.

  • Orthopaedic Surgery Physician
  • Rocky Mount, NC
National Provider Identifier
1285678904
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
24225 Issued in NC
Legal business name
BLOEM ORTHOPAEDIC CENTER, P.A.
Practice address
3101 Zebulon Rd
Rocky Mount, NC 27804-2426
Phone
(252) 937-2663
Fax
(252) 937-4894
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Josephus TH. Bloem, M.D.
Title
Owner
Phone
(252) 937-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 24225 NC Primary

Addresses

Primary practice location

3101 Zebulon Rd
Rocky Mount, NC 27804-2426

Mailing address

3101 Zebulon Rd
Rocky Mount, NC 27804
Phone (252) 937-2663

Other identifiers 1

IdentifierTypeStateIssuer
890230WMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1285678904",
    "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": "278042426",
            "telephone_number": "252-937-2663",
            "fax_number": "252-937-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOEM ORTHOPAEDIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "BLOEM",
        "authorized_official_first_name": "JOSEPHUS",
        "authorized_official_middle_name": "TH.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-937-2663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "24225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890230W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.