DR. TRACY JAMES BLOOM (NPI# 1396707212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396707212 |
| Entity Type | Individual |
| Full Name | DR. TRACY JAMES BLOOM |
| Credential | D.C. |
| Practice Address |
100 Great Oaks Blvd Suite 106 Albany NY 12203-7924 |
| Mailing Address |
100 Great Oaks Blvd Suit 106 Albany NY 12203-7924 |
| Practice Telephone | 5184643611 |
| Mailing Telephone | 5184643611 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X007387-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WORKERS COMPENSATION | C07387-6W | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257939 | Tracy Bloom | Counselor | 17301 W Colfax Ave Ste 275, Golden, CO 80401-4886 | 2020-08-24 |
| 1982747853 | Tracy A. Bloom | Registered Nurse | 62 Pawnee Dr, Commack, NY 11725-4222 | 2007-02-14 |
| 1699858357 | Tracy Roy Bloom II | Registered Nurse | 1705 Georgia St, Napa, CA 94559-1621 | 2006-10-24 |
| 1386921765 | Tracy Bloom | Counselor | 5413e Backlick Rd, Springfield, VA 22151-3915 | 2011-11-13 |
| Street Address |
100 GREAT OAKS BLVD SUITE 106 |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429150 | Albany Medical College | Pediatrics | 100 Great Oaks Blvd, Ste 103, Albany, NY 12203-7919 | 2015-06-17 |
| 1972842151 | Alisha L Ronan | Physician Assistant | 100 Great Oaks Blvd, Suite 105, Albany, NY 12203-7924 | 2013-02-07 |
| 1295093714 | Karolina Janasek | Pediatrics | 100 Great Oaks Blvd, Suite 103, Albany, NY 12203-7919 | 2012-05-03 |
| 1942583554 | Community Care Physicians, PC | Family Medicine | 100 Great Oaks Blvd, Suite 105, Albany, NY 12203 | 2011-09-21 |
| 1245551704 | Wendy Ball | Counselor | 100 Great Oaks Blvd, Suite 106, Albany, NY 12203-7924 | 2010-06-18 |
| 1205910825 | Nicole Marie Pellegrini | Physician Assistant | 100 Great Oaks Blvd, Suite 105, Albany, NY 12203-7924 | 2006-10-24 |
| 1720170269 | Stephen F Sipperly | Family Medicine | 100 Great Oaks Blvd, Suite 105, Albany, NY 12203-7924 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518586643 | Leah Chautin | Chiropractor | 14 Columbia Cir Ste 203, Albany, NY 12203-5163 | 2020-04-09 |
| 1902446750 | Enlighten Chiropractic, Pllc | Chiropractor | 2 Tower Pl Ste 1, Albany, NY 12203-3726 | 2020-01-09 |
| 1699292771 | Bennett Dixon Cotten IIi | Chiropractor | 2601 Stuart Avenue, Albany, GA 31707-1664 | 2017-08-29 |
| 1609248624 | Willamette Valley Spine Solutions, PC | Chiropractor | 1117 Pacific Blvd Se, Albany, OR 97321-3154 | 2015-10-29 |
| 1356749097 | Justin Kyle Amy | Chiropractor | 8 Corporate Cir, Albany, NY 12203-5186 | 2014-12-11 |
| 1922426303 | Derrek Leonard Mart | Chiropractor | 28470 La 43 Hwy, Suite B, Albany, LA 70711-4322 | 2014-04-02 |
| 1922348549 | Tiffiney Renee Bean | Chiropractor | 1817 Samford Ave, Albany, GA 31707-4252 | 2013-02-19 |
| 1821355983 | Nan Evans Spencer | Chiropractor | 1070 Kains Ave, Apt 1, Albany, CA 94706-2242 | 2012-04-13 |
| 1548550940 | Bailey's Center of Chiropractic Care LLC | Chiropractor | 524 W Broad Ave, Albany, GA 31701-2468 | 2011-04-19 |
| 1427389915 | Jessica Cannistraro Lillard | Chiropractor | 100 Great Oaks Blvd Ste 106, Albany, NY 12203-7924 | 2010-01-22 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on DR. TRACY JAMES BLOOM.
| 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.