DR. COURTNAY WILLCOX BLOOMER (NPI# 1093764565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093764565 |
| Entity Type | Individual |
| Full Name | DR. COURTNAY WILLCOX BLOOMER |
| Credential | M.D. |
| Practice Address |
1331 North Elm Street Suite 200 Greensboro NC 27401-6304 |
| Practice Telephone | 3362749617 |
| Practice Fax Number | 3364822177 |
| Mailing Telephone | 3362749617 |
| Mailing Fax Number | 3364822177 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
2014-01400 | NC | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
A103127 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2014-01400 | NC | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
98050 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1331 NORTH ELM STREET SUITE 200 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532798 | Adam Ryan Henn | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2005-07-18 |
| 1568624146 | Drew Edward Davis | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2008-06-25 |
| 1093973273 | Kelly Ann Brozzetti-cronin | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2008-05-25 |
| 1508031253 | Allen Thomas Grady | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2008-04-24 |
| 1851509723 | John Stewart Edmunds | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2007-05-21 |
| 1427265537 | Hetal Patel | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2007-05-17 |
| 1871517839 | Darrell Kevin Allred | Physician Assistant | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2006-07-26 |
| 1336168996 | Kevin F Bruning | Physician Assistant | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2006-07-18 |
| 1942239645 | Daniel William Entrikin | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2006-07-03 |
| 1265469795 | Diagnostic Radiology & Imaging, LLC | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507655 | Dallas Aaron Smith Jr. | Radiology | 109 Muirs Chapel Rd, Lower Level, Greensboro, NC 27410-6161 | 2005-06-09 |
| 1235592874 | Flexogenix North Carolina, PC | Radiology | 1414 Yanceyville St, 200, Greensboro, NC 27405-6962 | 2016-03-31 |
| 1265625818 | Southeastern Overread Services Pllc | Radiology | 109 Muirs Chapel Rd, Lower Level, Greensboro, NC 27410-6161 | 2007-08-27 |
| 1265452395 | Christopher R Payne | Radiology | 2705 Henry St, Greensboro, NC 27405-3669 | 2006-07-20 |
| 1790733780 | Robert Edward Shepherd | Radiology | 1317 N Elm St, Suite 1b, Greensboro, NC 27401-1023 | 2006-05-04 |
| 1780669242 | Christopher Wayne Mattern | Radiology | 1317 N Elm St, Suite 1b, Greensboro, NC 27401-1023 | 2005-12-07 |
| 1861476053 | Steven Robert Olson | Radiology | 1317 N Elm St, Suite 1b, Greensboro, NC 27401-1023 | 2005-12-01 |
| 1720079767 | David Charles Clark Jr. | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2005-10-31 |
| 1255321329 | John Taylor Curnes | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497191548 | Michael Kelly Altenburg | Radiology | Acc Clinic, 102 Mason Farm Road, Chapel Hill, NC 27599-0001 | 2013-05-16 |
| 1699034769 | Robert Miller | Radiology | 3022 Croasdaile Dr Ste 101, Durham, NC 27705 | 2012-05-10 |
| 1548581085 | Alexander William Rich | Radiology | Duke University Medical Center 2301 Erwin Rd, Durham, NC 27710 | 2010-06-18 |
| 1063689776 | Richard Youshin Ro | Radiology | 403 Edinburgh Dr, Cary, NC 27511-6493 | 2008-05-12 |
| 1912096843 | East Carolina Neurology, Inc. | Radiology | 402 Bowman Gray Dr, Greenville, NC 27834-7209 | 2006-10-11 |
| 1710959804 | Mark Marchand | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-02-03 |
| 1023096781 | Renee Raimondi Deweese | Radiology | Summit Crossing Place, Ste 106, Gastonia, NC 28054 | 2006-01-04 |
| 1518940790 | Jill Ellen Thompson | Radiology | 1846 E Franklin Blvd, Gastonia, NC 28054-4700 | 2005-11-22 |
| 1063495117 | Christopher Johannus Vandermeer | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 | 2005-11-22 |
| 1245882141 | Owen Stechishin | Radiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
Please comment or provide details below to improve the information on DR. COURTNAY WILLCOX BLOOMER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.