Bloom Healthcare

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLOOM HEALTHCARE

Practice address

10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033-2742

Phone

(303) 993-1330

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Debra K Wadelton

Title

Revenue Cycle Manager

Phone

(303) 993-1330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1982175311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 W 44TH AVE UNIT 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332742",
            "telephone_number": "303-993-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 W 44TH AVE UNIT 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332742",
            "telephone_number": "303-993-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "WADELTON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "303-993-1330"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Blair, LCSW, CACIII
• Brent Blake
• Jenna Marie Blakely
• Bridget M Blasius, MA, LPC
• Andrea Joanne Blevins, MS
• Bloom Pediatric Speech Therapy
• Blueprint Therapy LLC
• Julie Blumenfeld, MA, LPC, LACC
• Linda S Blust, MD
• Jennifer Bocker

• Internal Medicine Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.