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

Kenneth Edward Bloom, MD

Individual provider Dermatology Physician · NPI 1477536068

Kenneth Edward Bloom, MD is a Dermatology in Bronx, New York. Graduated from Rush Medical College of Rush University in 1984, 42 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Trained at
Rush Medical College of Rush University
Licensed in
NY
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1455 W Ave
Bronx, NY 10462-7304
Phone: (718) 239-1500
Fax: (212) 765-3210
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 291 E 149th St, Bronx, NY 10451-5601 — (718) 671-1000
  • 2432 Grand Concourse Rm 501, Bronx, NY 10458-5204 — (718) 537-5000
  • 2100 Bartow Ave Ste 211, Bronx, NY 10475-4614 — (718) 671-1000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 169466 (NY)

Record details

NPI number1477536068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2005
Last updated in NPPESAugust 22, 2019
Mailing address200 Central Park S Apt 107, New York, NY 10019-1449

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Bronx