Fred Bloem, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0046760 Issued in MD

Practice address

10400 Connecticut Ave Ste 206
Kensington, MD 20895-3941

Phone

(301) 260-2601

Fax

(240) 206-2740

NPI assigned

Dec 27, 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2016 through Mar 15, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1710042932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE STE 206",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953941",
            "telephone_number": "301-260-2601",
            "fax_number": "240-206-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE STE 206",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953941",
            "telephone_number": "301-260-2601",
            "fax_number": "240-206-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEM",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0046760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drbloemaesthetics.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Bloem Aesthetics Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10400 Connecticut Ave Ste 206",
            "city": "Kensington",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208953941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drbloem.com",
            "affiliation": "N",
            "endpointDescription": "Fred Bloem, MD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10400 Connecticut Ave Ste 206",
            "city": "Kensington",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208953941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betty Deberry-Sumner, LLC
• Rohit K Bhatnagar, M.D.
• Janice Marie Bitetti, MD
• Jesse Larry Blankenship, D.P.M.
• Adam Blitstein, MD
• Robert Allan Blum, M.D.
• Tanja Blumenschein, PT
• Sasan Bokanizad, PHARMD
• Katherine Bonilla
• Maureen Eslyn Booker-Stephenson, M.D.

• Family Medicine Physician in Kensington, MD
• Providers in Kensington, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.