Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley J Bloom, MD

Individual provider Pediatric Rheumatology Physician · NPI 1568643096

Bradley J Bloom, MD is a Pediatric Rheumatology Physician in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Hoppin St Coro W
Providence, RI 02903-4141
Phone: (401) 793-8560
Fax: (401) 793-8561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X · Licence MD08885 (RI)

Record details

NPI number1568643096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESFebruary 29, 2008
Mailing address593 Eddy St, Hasbro 122, Providence, RI 02903-4923

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