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

Dr. Fred A. Bloom, MD

Individual provider Psychiatry Physician · NPI 1104822881

Dr. Fred A. Bloom, MD is a Psychiatry Physician in Waterville, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

67 Silver St
Waterville, ME 04901
Phone: (207) 873-1636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 007673 (ME)

Record details

NPI number1104822881
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2005
Last updated in NPPESJuly 9, 2007
Mailing address67 Journey'S End Rd., Mt. Vernon, ME 04352

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