National Provider Identifier Database

JACOB C BLOOM, MD – NPI #1760942494
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

JACOB C BLOOM, MD
1550 N 115TH ST
SEATTLE, WA98133-8401
Phone: 206-520-5000
Fax:
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X
Otolaryngology 207Y00000X

* Indicates primary specialty

NPI Profile & details for JACOB C BLOOM

NPI Number 1760942494
Credentials MD
Entity Individual
Enumeration date 03/20/2019
Last updated 08/16/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • WA License #: MD61543077
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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