National Provider Identifier

Richard D Bloomberg, MD

Richard D Bloomberg, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in West Seneca, NY and a listed phone number of (716) 677-5500.

NPI 1770577330West Seneca, NYSurgery Physician

Profile Overview

NPI
1770577330
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
September 09, 2005
Last Updated
December 03, 2009

Practice Location

  • 550 Orchard Park RD
  • A103
  • West Seneca, NY 14224-2646

Phone: (716) 677-5500

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1770577330
Entity Type
Individual
Last Name
Bloomberg
First Name
Richard
Middle Name
D
Credential
MD
Mailing Street Address
550 Orchard Park RD
Mailing Address Line 2
A103
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-2646
Mailing Country
US
Mailing Phone
(716) 677-5500
Mailing Fax
(716) 677-5008
Practice Street Address
550 Orchard Park RD
Practice Address Line 2
A103
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-2646
Practice Country
US
Practice Phone
(716) 677-5500
Practice Fax
(716) 677-5008
Enumeration Date
September 09, 2005
Last Updated
December 03, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)
Other Identifiers
2115139 (Independent Health), 0192612 (Ghi Ppo), 02591862 (NY), 241414-2W (Workers Compensation), 000415467003 (Bc/Bs), P00475424 (NY, Rrm), 00028422901 (Univera)