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

Bradley Stephen Bloom, MD

Individual provider Dermatology Physician · NPI 1780902585

Bradley Stephen Bloom, MD is a Dermatology Physician in New York, New York. Licensed in New Jersey and New York. Registered with an NPI since 2010.

Licensed in
NJ, NY
In the registry since
2010
Specialties on file
2
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

1125 Park Ave
New York, NY 10128-1243
Phone: (212) 876-3319
Fax: (212) 423-0840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 262147 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 25MA09583800 (NJ)

Record details

NPI number1780902585
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2010
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

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