NPIMap

Organization Active NPI

BFPS PC

  • Facial Plastic Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1861047193
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
BFPS PC
Practice address
2 Town PL Ste 110
Bryn Mawr, PA 19010-3420
Phone
(215) 900-2806
NPI assigned
Aug 4, 2019
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Dr. Jason David Bloom, MDNPI 1184780108
Title
Owner
Phone
(215) 900-2806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X NU Primary

Addresses

Primary practice location

2 Town PL Ste 110
Bryn Mawr, PA 19010-3420

Mailing address

2 Town PL Ste 110
Bryn Mawr, PA 19010-3420
Phone (610) 762-5666

Other identifiers 5

IdentifierTypeStateIssuer
003201614-003OtherPAUNITEDHEALTHCARE
834539600OtherPAAMERIHEALTH
3845396000OtherPABLUE CROSS BLUE SHIELD OF PA / PERSONAL CHOICE / KEYSTONE HEALTH PLAN EAST
9547626OtherPAAETNA
2075855OtherPACIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjbloom@hotmail.com

National Provider Directory

National Provider Directory

Locations

2 Town Pl
Ste 110
Bryn Mawr, PA 19010
Phone (215) 900-2806

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1861047193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOWN PL STE 110",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103420",
            "telephone_number": "610-762-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOWN PL STE 110",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103420",
            "telephone_number": "215-900-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFPS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-04",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-900-2806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "003201614-003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "834539600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF PA  / PERSONAL CHOICE / KEYSTONE HEALTH PLAN EAST",
            "identifier": "3845396000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9547626",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2075855",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjbloom@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Office e-mail",
            "address_1": "2 Town Pl Ste 110",
            "city": "Bryn Mawr",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190103420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 9, 2021; 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.