DR. PETER E BLOOM JR. (NPI# 1447468954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447468954 |
| Entity Type | Individual |
| Full Name | DR. PETER E BLOOM JR. |
| Credential | M.D. |
| Practice Address |
25 Newell Rd Suite E36 Bristol CT 06010-5100 |
| Practice Telephone | 8605839252 |
| Mailing Telephone | 8605839252 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
048599 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780891200 | Peter Mark Bloom | Physical Therapist | 366 Lake Shore Rd, Putnam Valley, NY 10579-1314 | 2007-05-16 |
| 1871615336 | Peter Brower Bloom | Psychiatry & Neurology | 950 E Haverford Rd, Suite 302, Bryn Mawr, PA 19010-3850 | 2007-04-04 |
| 1720144306 | Peter Bloom | Psychologist | 1707 Belle View Blvd, Alexandria, VA 22307-6727 | 2006-12-28 |
| 1316923253 | Peter D Bloom | Internal Medicine | 60 Maple Rd, Ste 1, Williamsville, NY 14221-2917 | 2005-12-22 |
| Street Address |
25 NEWELL RD SUITE E36 |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063409308 | Michael Stephen Ptaszynski | Internal Medicine | 25 Newell Rd, #d-25, Bristol, CT 06010-5100 | 2005-10-03 |
| 1588209563 | Rosalyn A Ingram | Nurse Practitioner | 25 Newell Rd, Bristol, CT 06010-5100 | 2019-11-13 |
| 1245784438 | Robert Robles | Acupuncturist | 25 Newell Rd, Suite E34, Bristol, CT 06010-5100 | 2016-08-05 |
| 1811240740 | Rachel Bridgemohan | Nurse Practitioner | 25 Newell Rd, Suite E 36, Bristol, CT 06010-5100 | 2012-10-16 |
| 1164782835 | Shweta Upadhyay | Internal Medicine | 25 Newell Rd, D-24, Bristol, CT 06010-5100 | 2012-05-29 |
| 1154625374 | Bristol Hospital Multi-specialty Group, Inc. | Surgery | 25 Newell Rd, Suite D25, Bristol, CT 06010-5100 | 2011-01-03 |
| 1811209547 | Dilpreet Kaur | Internal Medicine | 25 Newell Rd, D-24, Bristol, CT 06010-5100 | 2010-07-10 |
| 1841422367 | Elaine M Searle | Nurse Practitioner | 25 Newell Rd, Suite E36, Bristol, CT 06010-5100 | 2009-08-17 |
| 1700049996 | Souheil Adra | Surgery | 25 Newell Rd, C-14, Bristol, CT 06010-5100 | 2008-07-08 |
| 1912197781 | Bristol Surgical Group, P.C. | Specialist | 25 Newell Rd, Suite D-21, Bristol, CT 06010-5100 | 2007-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417098146 | William Ramsey | Internal Medicine | 25 Newell Rd Ste E, Bristol, CT 06010-5100 | 2007-02-08 |
| 1356344402 | Manoj Srinath | Internal Medicine | 235 Medical Park Blvd, Bristol, TN 37620-7455 | 2005-05-23 |
| 1942418496 | Samuel Milton Plucker | Internal Medicine | 240 Medical Park Blvd, Suite 3000, Bristol, TN 37620-7346 | 2007-05-18 |
| 1821204751 | Garieann C Fish | Internal Medicine | 235 Medical Park Blvd, Bristol, TN 37620-7455 | 2007-05-15 |
| 1255452751 | Joshua D Hall | Internal Medicine | 235 Medical Park Blvd, Bristol, TN 37620-7455 | 2007-04-02 |
| 1801934906 | Bristol Gastroenterology Associates, P.C. | Internal Medicine | 25 Newell Rd, E-36, Bristol, CT 06010-5100 | 2007-02-01 |
| 1124183074 | Joanna E Sampson | Internal Medicine | 25 Newell Rd, Suite E-36, Bristol, CT 06010-5100 | 2006-12-22 |
| 1003873571 | Ronald S Green | Internal Medicine | 25 Newell Rd, Suite E-36, Bristol, CT 06010-5100 | 2006-04-28 |
| 1861459349 | Kenneth I Krasner | Internal Medicine | 25 Newell Rd, Suite E-36, Bristol, CT 06010-5100 | 2006-04-27 |
| 1033176870 | Daniel Norman Smiley | Internal Medicine | 25 Newell Rd, Suite E-36, Bristol, CT 06010-5100 | 2006-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.