Westside Bone & Joint Clinic,PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

F8414 Issued in TX

Legal business name

WESTSIDE BONE & JOINT CLINIC,PA

Practice address

902 Frostwood Dr
Suite 314
Houston, TX 77024-2420

Phone

(713) 932-7400

Fax

(713) 932-8224

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Martin L Bloom, M.D.

Title

Owner

Phone

(713) 932-7400

Specialties & licenses 1

Addresses

Other names 1

• Martin L. Bloom, M.D. Other name

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1831169705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 314",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-932-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 314",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-932-7400",
            "fax_number": "713-932-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE BONE & JOINT CLINIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-932-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F8414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin L. Bloom, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.