Individual provider Active NPI

Robert Joseph Bloomfield, CRT

  • Home Health Certified Respiratory Therapist
  • Baltimore, MD
National Provider Identifier
1881924108
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
L0000725 Issued in MD
Practice address
4404 Fitch Ave
Baltimore, MD 21236-3907
Phone
(410) 665-0107
Fax
(410) 665-0875
NPI assigned
Jan 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory Therapist 2278H0200X L0000725 MD Primary
Home Health Certified Respiratory Therapist 2278H0200X 0117003601 VA

Addresses

Primary practice location

4404 Fitch Ave
Baltimore, MD 21236-3907

Mailing address

4404 Fitch Ave
Baltimore, MD 21236-3907
Phone (410) 665-0107

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L0000725MDMDHome Health Certified Respiratory Therapist
0117003601VAMDHome Health Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1881924108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 FITCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363907",
            "telephone_number": "410-665-0107",
            "fax_number": "410-665-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 FITCH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363907",
            "telephone_number": "410-665-0107",
            "fax_number": "410-665-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "MD",
            "license": "L0000725",
            "primary": true
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "VA",
            "license": "0117003601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.