Individual
RICHARD SETH BLOOMFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9600430
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126KJ
BCBS
—
05
—
2002312000
—
WV
01
—
36475
PARTNERS
—
05
—
5850371
—
VA
01
—
7616283
AETNA
—
05
—
89126KJ
—
NC
01
—
97765
MEDCOST
—
05
—
Q0043H
—
SC
Enumeration date
12/08/2005
Last updated
07/16/2024
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