Active NPI
Allison J Bloom, DO
- Reproductive Endocrinology Physician
- Bryn Mawr, PA
National Provider Identifier
1811150675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- OS016098
- Practice address
- 825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234 - Phone
- (610) 527-0800
- Fax
- (610) 527-9868
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS016098 | PA | |
| Reproductive Endocrinology Physician | 207VE0102X | OS016098 | PA | Primary |
Addresses
Primary practice location
825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234
Mailing address
PO Box 631790
Cincinnati, OH 45263-1790
Phone (615) 550-4900
Other practice location 1
2010 W Chester Pike Ste 350
Havertown, PA 19083-2738
Phone (610) 853-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS016098 | PA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Fertility Clinic PC | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Reproductive Endocrinology Physician
- Bryn Mawr, PA
- NPI 1932834082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1811150675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631790",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631790",
"telephone_number": "615-550-4900",
"fax_number": "615-550-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OLD LANCASTER RD STE 170",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103234",
"telephone_number": "610-527-0800",
"fax_number": "610-527-9868"
}
],
"practiceLocations": [
{
"address_1": "2010 W Chester Pike Ste 350",
"address_purpose": "LOCATION",
"city": "Havertown",
"state": "PA",
"postal_code": "190832738",
"country_code": "US",
"telephone_number": "610-853-1112",
"fax_number": "610-446-1425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOM",
"first_name": "ALLISON",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "OS016098",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "PA",
"license": "OS016098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.