BROOKE J BLOOM (NPI# 1124149364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124149364 |
| Entity Type | Individual |
| Full Name | BROOKE J BLOOM |
| Credential | M.D. |
| Practice Address |
650 Centre St Brockton MA 02302-3308 |
| Mailing Address |
5 Violet Cir Sharon MA 02067-1509 |
| Practice Telephone | 5086978666 |
| Mailing Telephone | 5086978666 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 209728 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
650 CENTRE ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891723334 | Harold Michlewitz | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2006-06-30 |
| 1811306061 | Melissa Lauren Kirkland | Nurse Practitioner | 650 Centre St, Brockton, MA 02302-3308 | 2014-08-12 |
| 1619127040 | Martha P Slattery | Nurse Practitioner | 650 Centre St, Suite 102w, Brockton, MA 02302-3308 | 2008-09-23 |
| 1588698245 | Samar A Choubah | Internal Medicine | 650 Centre St, Brockton, MA 02302-3308 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457417669 | James Marquardt, Md, PC. | Obstetrics & Gynecology | 47 Libby St, Brockton, MA 02302-2949 | 2006-12-29 |
| 1891723334 | Harold Michlewitz | Obstetrics & Gynecology | 650 Centre St, Brockton, MA 02302-3308 | 2006-06-30 |
| 1689637944 | Uhun Ro Lee | Obstetrics & Gynecology | 45 Pearl St, Brockton, MA 02301-2858 | 2006-04-08 |
| 1639176910 | Marcia Waitzman | Obstetrics & Gynecology | 680 Centre St, Brockton, MA 02302-3308 | 2005-07-01 |
| 1659759710 | Maryam Yeganegi | Obstetrics & Gynecology | 63 Main St, Brockton, MA 02301 | 2015-05-09 |
| 1851529499 | Sandy Cho | Obstetrics & Gynecology | 680 Centre St, Brockton Hospital, Signature Healthcare, Brockton, MA 02302-3308 | 2009-06-22 |
| 1114119732 | Anika Tene Moore | Obstetrics & Gynecology | 63 Main St, Brockton, MA 02301 | 2007-08-16 |
| 1093910788 | Gregory Wei Chiang Woo | Obstetrics & Gynecology | 680 Centre St, Brockton, MA 02302-3308 | 2007-06-20 |
| 1558427070 | Hanjani PC | Obstetrics & Gynecology | 830 Oak St, Ste 201w, Brockton, MA 02301-1168 | 2006-12-29 |
| 1255435707 | Ana Cristina Vasilescu | Obstetrics & Gynecology | 235 N Pearl St, Brockton, MA 02301-1794 | 2006-09-12 |
| Find all providers in BROCKTON | ||||
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| 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.