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Contact Information

JOSHUA A BLOOM, MD
6308 8TH AVE
SUITE 2000
KENOSHA, WI53143-5031
 Phone: 262-653-5360
 Fax: 262-653-5357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSHUA A BLOOM · (Male)

NPI Number 1770530750
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2006
Last updated 11/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 29321
  • WI Medicaid 31437500
  • WI Other 110105435 MEDICARE RR
Hospital affiliation(s)
  • MERCY HEALTH SYS CORP - (Acute Care)
    1000 MINERAL POINT AVE
    JANESVILLE, WI 53548
  • UNITED HSPTL SYS - (Acute Care)
    6308 EIGHTH AVE
    KENOSHA, WI 53143
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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