National Provider Identifier Database

JERRY M BLOOMSTEIN, MD – NPI #1356475594
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

JERRY M BLOOMSTEIN, MD
1220 DEWEY AVE
BLDG 2
WAUWATOSA, WI53213-2504
Phone: 414-454-6500
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for JERRY M BLOOMSTEIN

NPI Number 1356475594
Credentials MD
Entity Individual
Enumeration date 03/16/2007
Last updated 11/23/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 28817
  • WI Medicaid: 31465900
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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