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

Roy D Bloom, MD

Individual provider Nephrology Physician · NPI 1528093663

Roy D Bloom, MD is a Nephrology in Philadelphia, Pennsylvania. Qualified in 1983, 43 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
43
Licensed in
PA
In the registry since
2006
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

3400 Spruce St 210 White Bldg
Philadelphia, PA 19104-4206
Phone: (215) 662-2638
Fax: (215) 349-5703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD041209L (PA)

Record details

NPI number1528093663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address3400 Spruce St, 210 White Bldg, Philadelphia, PA 19104-4206

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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