Dr Henry R Bloom, MD is a medicare enrolled "Family Medicine" physician in University Heights, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1973 and has 52 years of diverse experience with area of expertise as Family Practice. His current practice location is
20620 John Carroll Blvd, Suite 208, University Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 321-9703.
Dr Henry R Bloom is licensed to practice in Ohio (license number 35-039371) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003893025.
Physician's Profile
Full Name | Dr Henry R Bloom |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 52 Years |
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Location | 20620 John Carroll Blvd, University Heights, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Henry R Bloom attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1973
NPI Data:
- NPI Number: 1003893025
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 07/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 0547307621
- Enrollment ID: I20091021000740
Medical Identifiers
Medical identifiers for Dr Henry R Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003893025 | NPI | - | NPPES |
3059621 | Medicaid | OH | |
0394130 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 35-039371 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Henry R Bloom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Henry R Bloom, MD 20620 John Carroll Blvd, Suite 208, University Heights, OH 44118-4540 Ph: (216) 321-9703 | Dr Henry R Bloom, MD 20620 John Carroll Blvd, Suite 208, University Heights, OH 44118-4540 Ph: (216) 321-9703 |
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