NPIMap

Individual provider Active NPI

Jeffrey Brian Bloomer, MD

  • Pulmonary Disease Physician
  • Cincinnati, OH
National Provider Identifier
1457449449
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35-042156 Issued in OH
Practice address
4760 E Galbraith Rd
Suite 206
Cincinnati, OH 45236-6703
Phone
(513) 791-4490
Fax
(513) 791-7287
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35-042156 OH Primary

Addresses

Primary practice location

4760 E Galbraith Rd
Suite 206
Cincinnati, OH 45236-6703

Mailing address

4760 E Galbraith Rd
Suite 206
Cincinnati, OH 45236-6703
Phone (513) 791-4490

Other identifiers 1

IdentifierTypeStateIssuer
0426524MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031125000466 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7911801527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Cincinnati College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

4760 E Galbraith Rd
Suite 206
Cincinnati, OH 45236-6704
Phone (513) 791-4490

Hospital & facility affiliations

  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-042156OHMDPulmonary Disease Physician
2156OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Pulmonary Disease CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Pulmonary Disease CurrentSince May 30, 2012 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince May 30, 2012 Accepting new patients
Diagnostic Cardiologists Inc. Past Accepting new patients
Your MD, LLC PastSince Aug 1, 2003 Accepting new patients
Neurological & Sleep Disorders Inc Pulmonary Disease PastSince Apr 30, 2023 Accepting new patients

Locations

4760 E Galbraith Rd
Ste 206
Cincinnati, OH 45236
Phone (513) 791-4490

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

4760 E Galbraith Rd
Ste 20
Cincinnati, OH 45236
Phone (513) 791-4490

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

5470 Kings Island Dr
Ste 120
Mason, OH 45040
Phone (513) 791-4490

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: jbloomer7867@direct.bsmhealth.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1457449449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD",
            "address_2": "SUITE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366703",
            "telephone_number": "513-791-4490",
            "fax_number": "513-791-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD",
            "address_2": "SUITE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366703",
            "telephone_number": "513-791-4490",
            "fax_number": "513-791-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMER",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35-042156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.