Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WAYNE BRIAN BLOOM, D.P.M.
DeactivatedDR. WAYNE BRIAN BLOOM, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in YORKTOWN HEIGHTS, New York. NPI 1225035835 is deactivated in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · YORKTOWN HEIGHTS, NY
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1225035835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2005 (0.71506849315068 yrs)
- Last Updated
- Feb 7, 2014
- Deactivated
- Mar 17, 2006
- Licenses
-
N-004707 (NY)N-004707 (NY)
Practice Information
- Address
-
2050 SAW MILL RIVER RDYORKTOWN HEIGHTS, NY, 105984108Browse NY providers · Browse ZIP 10598
- Phone
- 9142457888
- Fax
- 9142457909
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.