Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH EDWARD BLOOM, M.D.
ActiveKENNETH EDWARD BLOOM, M.D. is a Dermatology healthcare provider located in BRONX, New York. NPI 1477536068 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BRONX, NY
Registration Details
- NPI Number
- 1477536068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2005 (20.742380484885 yrs)
- Last Updated
- Aug 22, 2019
- License
-
169466 (NY)
Practice Information
- Address
-
1455 WEST AVEBRONX, NY, 104627304Browse NY providers · Browse ZIP 10462
- Phone
- 7182391500
- Fax
- 2127653210
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in BRONX, NY
| Name | Credential | NPI |
|---|---|---|
| EUGENE J WHANG | MD | 1295727808 |
| DOUGLAS IRA ROSEN | MD | 1821081027 |
| DR. RICHARD W GREEN | MD | 1154301000 |
| DR. SUSAN KATZ | MD | 1902866627 |
| DR. CHARLES A GROPPER | M.D. | 1659332864 |
| DR. KATHLEEN OCONNOR | MD | 1790746865 |
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.