Organization
BFPS PC
Active
Organization
BFPS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DAVID BLOOM MD (OWNER)
(215) 900-2806
Entity
Organization
Contact information
Practice address
2 TOWN PL STE 110, BRYN MAWR, PA 19010-3420
(215) 900-2806
Mailing address
2 TOWN PL STE 110, BRYN MAWR, PA 19010-3420
(610) 762-5666
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003201614-003
UNITEDHEALTHCARE
PA
01
—
2075855
CIGNA
PA
01
—
3845396000
BLUE CROSS BLUE SHIELD OF PA / PERSONAL CHOICE / KEYSTONE HEALTH PLAN EAST
PA
01
—
834539600
AMERIHEALTH
PA
01
—
9547626
AETNA
PA
Enumeration date
08/04/2019
Last updated
12/09/2021
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