JENNIFER MICHELE BLOOM DPM
NPI 1952157315
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Jennifer Bloom's NPI number?

The NPI number for Jennifer Bloom is 1952157315. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Q: What is Jennifer Bloom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bloom was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2024PECOS Enrolled

4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-7071 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Michele Bloom Dpm NPPES

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

JENNIFER MICHELE BLOOM DPM (NPI 1952157315) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952157315

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIFER MICHELE BLOOMCredential: DPM

Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153

Mailing Address15912 E Jefferson AveGrosse Pointe Park, MI 48230-1446 · (305) 799-1500

Phone(313) 745-7071

Sole ProprietorYes

Enumeration DateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1952157315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST, Detroit, MI 48201

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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)

Jennifer Michele Bloom Dpm 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.

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