Individual
RICHARD D BLOOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
241414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028422901
UNIVERA
—
01
—
000415467003
BC/BS
—
01
—
0192612
GHI PPO
—
05
—
02591862
—
NY
01
—
2115139
INDEPENDENT HEALTH
—
01
—
241414-2W
WORKERS COMPENSATION
—
01
—
P00475424
RRM
NY
Enumeration date
09/09/2005
Last updated
05/05/2026
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