NPI 1336609775 · live from the CMS NPI Registry
Brooke Elizabeth Bloom, DO
Psychiatry & Neurology, Neurology in Worcester, MA. National Provider Identifier 1336609775, active.
NPI record
| NPI | 1336609775 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 123 Summer St Ste 230s, Worcester, MA 01608 |
| Practice phone | 508-368-3150 |
| Enumerated | March 21, 2019 |
| Last updated | October 31, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 73735 (CT) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 1019879 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.