Martin Glenn Bloom, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME27887 Issued in FL

Practice address

3100 S Federal Hwy
Suite J
Delray Beach, FL 33483-3222

Phone

(561) 257-2511

Fax

(561) 257-5051

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Boca Raton Ekg Readers Inc

  • Cardiovascular Disease Physician
  • Boca Raton, FL
  • NPI 1568415453
  Medicare reassignment NPD
• Martin G. Bloom, MD, PA

  • Non-Pharmacy Dispensing Site
  • Delray Beach, FL
  • NPI 1144613423
  NPD (past) Authorized official
• Martin G. Bloom, MD, PA

  • Non-Pharmacy Dispensing Site
  • Boca Raton, FL
  • NPI 1437543469
  NPD (past) Authorized official
• Boca Raton Ekg Readers

  • Cardiovascular Disease Physician
  • Boca Raton, FL
  • NPI 1538355987
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1487760732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S FEDERAL HWY",
            "address_2": "SUITE J",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833222",
            "telephone_number": "561-257-2511",
            "fax_number": "561-257-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S FEDERAL HWY",
            "address_2": "SUITE J",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833222",
            "telephone_number": "561-257-2511",
            "fax_number": "561-257-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MARTIN",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME27887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bless Medical Center of Delray LLC
• Natalya Bliskavka, LMHC
• Michael E Block, D.O.
• Bloom Medical Group LLC
• David Isaac Bloom, M.D.
• Samuel Bloom, MD
• Blue Sky Healthcare Solutions LLC
• Blue Water Doctors of Delray Beach, LLC
• Lorraine J Blum, LCSW
• Harold Blumenthal, LDO

• Cardiovascular Disease Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.