Individual
RONALD BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8205 E 56TH ST, SUITE 250, INDIANAPOLIS, IN 46216-1003
(317) 353-8985
(317) 353-2389
Mailing address
9011 N MERIDIAN ST, SUITE 225, INDIANAPOLIS, IN 46260-5378
(317) 564-2134
(317) 574-4737
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01035959A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363180
—
IN
Enumeration date
09/13/2005
Last updated
01/02/2025
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