Brooke Alexander-Bloom D.O a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7006 Issued in CA

Legal business name

BROOKE ALEXANDER-BLOOM D.O A PROFESSIONAL MEDICAL CORPORATION

Practice address

1401 Avocado Ave
Suite 302
Newport Beach, CA 92660-7720

Phone

(949) 644-2323

Fax

(949) 644-1840

NPI assigned

Feb 23, 2009

Organization subpart

No

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

Authorized official

Name

Brooke Alexander

Title

President

Phone

(949) 644-2323

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jason K Austin, D.O

  • Family Medicine Physician
  • Johnston, RI
  • NPI 1013963818

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1407096092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15756",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595756",
            "telephone_number": "949-574-4600",
            "fax_number": "949-574-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "SUITE 302",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-644-2323",
            "fax_number": "949-644-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE ALEXANDER-BLOOM D.O A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-644-2323"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiare Brock, LMFT
• Erica Brockman, PPS
• Peter Broekelschen, MD
• Erika Shanelle Brogdon, NP-C
• Erica Gilbert Bromley, M.D.
• Allyson Brooks, MD
• Serena Brouelette
• George H Brouillet, AMFT
• Jorja Rae Broussard
• David Brouwer, MD

• All providers in Newport Beach, CA
• Family Medicine Physician in California

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