National Provider Identifier
Peter D Bloom, M.D.
Peter D Bloom, M.D. is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Williamsville, NY and a listed phone number of (716) 626-5250.
Profile Overview
- NPI
- 1316923253
- Provider Type
- Individual
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- December 22, 2005
- Last Updated
- December 06, 2013
Practice Location
- 60 Maple RD
- Ste 1
- Williamsville, NY 14221-2917
Phone: (716) 626-5250
Specialties
- Gastroenterology Physician (207RG0100X)
Full Record
- NPI
- 1316923253
- Entity Type
- Individual
- Last Name
- Bloom
- First Name
- Peter
- Middle Name
- D
- Credential
- M.D.
- Mailing Street Address
- 60 Maple RD
- Mailing Address Line 2
- Ste 1
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2917
- Mailing Country
- US
- Mailing Phone
- (716) 626-5250
- Mailing Fax
- (716) 332-2218
- Practice Street Address
- 60 Maple RD
- Practice Address Line 2
- Ste 1
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2917
- Practice Country
- US
- Practice Phone
- (716) 626-5250
- Practice Fax
- (716) 332-2218
- Enumeration Date
- December 22, 2005
- Last Updated
- December 06, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gastroenterology Physician (207RG0100X)
- Other Identifiers
- 7130845 (Aetna), 104399 (Ghi), 175336BT (NY, Preferred Care), 2313009 (NY, Independent Health), 000528291001 (NY, Blue Cross Of Wny), 00027351201 (NY, Univera), 02697414 (NY), 105127 (Ghi Hmo)