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DR. JASON DAVID BLOOM MD
NPI 1184780108
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Bryn Mawr, PA

Active since December 28, 2006PECOS Enrolled
2 TOWN PL STE 110, BRYN MAWR, PA 19010(610) 762-5666(484) 380-3550 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason David Bloom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON DAVID BLOOM MD (NPI 1184780108) is an individual otolaryngology/facial plastic surgery provider in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (MD432401) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184780108
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. JASON DAVID BLOOMCredential: MD
Location Address2 TOWN PL STE 110Bryn Mawr, PA 19010-3420
Mailing Address2 Town Pl Ste 110Bryn Mawr, PA 19010-3420 · (610) 762-5666 · Fax (484) 380-3550
Phone(610) 762-5666
Fax(484) 380-3550
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1184780108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Licenses✔ Licensed in PA · MD432401✔ Licensed in NY · 256050
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License MT186824 (PA)
2 TOWN PL STE 110, Bryn Mawr, PA 19010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason David Bloom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMONE NICOLE TALMOR
Nurse Practitioner (Family)
2 TOWN PL STE 110
BRYN MAWR, PA 19010
Delaware County (610) 762-5666
NEZA LEE STEFANIC
Physician Assistant
2 TOWN PL STE 110
BRYN MAWR, PA 19010
Delaware County (610) 854-8676
BFPS PC
Otolaryngology (Facial Plastic Surgery)
2 TOWN PL STE 110
BRYN MAWR, PA 19010
Delaware County (215) 900-2806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Bloom's NPI number?

The NPI number for Jason Bloom is 1184780108. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Jason Bloom located?

Jason Bloom practices at 2 Town Pl Ste 110, Bryn Mawr, PA 19010. The listed phone number is (610) 762-5666.

What is Jason Bloom's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Jason Bloom enrolled in Medicare?

Yes. Jason Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Bloom was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.