Organization Active NPI

Martin G Bloom MD PA

  • Cardiovascular Disease Physician
  • Delray Beach, FL
National Provider Identifier
1669701025
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME27887 Issued in FL
Legal business name
MARTIN G BLOOM MD PA
Practice address
3100 S Federal Hwy
Suite J
Delray Beach, FL 33483-3222
Phone
(561) 368-8886
Fax
(561) 750-1931
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Martin G Bloom, MD
Title
President
Phone
(561) 368-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME27887 FL Primary

Addresses

Primary practice location

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

Mailing address

3100 S Federal Hwy
Suite J
Delray Beach, FL 33483-3222
Phone (561) 368-8886

National Provider Directory

National Provider Directory

Locations

3100 S Federal Hwy
Ste J
Delray Beach, FL 33483
Phone (561) 257-2519

3100 S Federal Hwy
Delray Beach, FL 33483
Phone (561) 213-3338

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1669701025",
    "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": "561-368-8886",
            "fax_number": "561-750-1931"
        },
        {
            "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": "561-368-8886",
            "fax_number": "561-750-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN G BLOOM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-368-8886",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME27887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.