National Provider Identifier
Jonathan Bloom, M.D.
Jonathan Bloom, M.D. is listed in the NPPES registry with a primary specialty of Urology Physician in Rochester, NY and a listed phone number of (585) 275-2838.
Profile Overview
- NPI
- 1972904423
- Provider Type
- Individual
- Primary Specialty
- Urology Physician
- Enumeration Date
- September 15, 2014
- Last Updated
- June 30, 2023
Practice Location
- 400 White Spruce Blvd Ste B
- Rochester, NY 14623
Phone: (585) 275-2838
Mailing Address
- 601 Elmwood Ave Box 656
- Rochester, NY 14642-3481
Specialties
- Urology Physician (208800000X)
- Urology Physician (208800000X)
Endpoints
- jbloom47333@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1972904423
- Entity Type
- Individual
- Last Name
- Bloom
- First Name
- Jonathan
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave Box 656
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-3481
- Mailing Country
- US
- Mailing Phone
- (585) 275-2838
- Mailing Fax
- (585) 424-1338
- Practice Street Address
- 400 White Spruce Blvd Ste B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623
- Practice Country
- US
- Practice Phone
- (585) 275-2838
- Practice Fax
- (585) 424-1338
- Enumeration Date
- September 15, 2014
- Last Updated
- June 30, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Urology Physician (208800000X), Urology Physician (208800000X)