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

Dr. Kevin Carmo Bom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740929868

Dr. Kevin Carmo Bom, MD is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
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

3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-9837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MT225687 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT225687 (PA)

Record details

NPI number1740929868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

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