Martin G. Bloom, MD, PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME27887 Issued in FL

Legal business name

MARTIN G. BLOOM, MD, PA

Practice address

875 Meadows Rd Ste 325
Boca Raton, FL 33486-2349

Phone

(561) 368-8886

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Martin Bloom, M.D.NPI 1487760732

Title

Owner

Phone

(561) 368-8886

Specialties & licenses 1

Addresses

Tax ID family

Martin G Bloom MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martin G. Bloom, MD, PA

  • Non-Pharmacy Dispensing Site
  • Delray Beach, FL
  • NPI 1144613423
  NPD tax ID

Practitioners 1

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

• Martin Glenn Bloom, MD

  • Cardiovascular Disease Physician
  • Delray Beach, FL
  • NPI 1487760732
  NPD (past) Authorized official

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1437543469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MEADOWS RD STE 325",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862349",
            "telephone_number": "561-368-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MEADOWS RD STE 325",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862349",
            "telephone_number": "561-368-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN G. BLOOM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-368-8886",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME27887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Marshall, PA-C
• Tatyana Marshall, LCSW
• Bradley Allen Marsic, MS, LAT, ATC
• Tina Marie Marsicano, LCSW
• Estrellita Marte, PA-C
• Martin Shank DPM PA & Richard Nettbay DPM
• Martin Shank DPM PA & Richard Nettboy DPM
• Alejandra Martin
• Anna Martin, MD
• Barbara Claire Martin

• Non-Pharmacy Dispensing Site in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.