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

Dr. Jason Michael Bloomberg, MD

Individual provider Emergency Medicine Physician · NPI 1588772115

Dr. Jason Michael Bloomberg, MD is an Emergency Medicine Physician in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Nebraska, Nevada and Wyoming.

Licensed in
NE, NV, WY
In the registry since
2006
Specialties on file
8
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

3100 Henderson Dr Ste 9
Cheyenne, WY 82001-5846
Phone: (307) 426-4673
Fax: (307) 426-4674
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6713A (WY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 6713A (WY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 22927 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11910 (NV)
Obstetrics Physician Taxonomy 207VX0000X · Licence 11910 (NV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 22927 (NE)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 11910 (NV)
Obesity Medicine (Family Medicine) Physician Taxonomy 207QB0002X · Licence 6713A (WY)

Record details

NPI number1588772115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 25, 2006
Last updated in NPPESMay 8, 2008
Mailing addressPo Box 21004, Cheyenne, WY 82003-7020

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