Bruce Blumenfeld, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS020070L Issued in PA

Practice address

1650 Walnut St
Harrisburg, PA 17103-2350

Phone

(717) 230-3958

NPI assigned

Jan 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790830289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 WALNUT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171032350",
            "telephone_number": "717-230-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENFELD",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS020070L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00051630200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Bloom, O.D.
• Brian P Bloom, MD
• Karen Bloom, OT
• Arianna Saige Blose
• Blue Diamond Homecare LLC
• Barbara Boateng
• Briana Bobbitt
• Megan Bobby
• Bock CRNP Services
• Jason M Boes, M.ED., NCC, LPC

• Pediatric Dentistry in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.