Dr. Kenneth Evan Bloom

DPM | Podiatrist - Foot & Ankle Surgery | 29+ years Exp


  
137 Professional Park Dr, Suite C, Mooresville
North Carolina, 28117-6540

 704-662-8336     704-662-8525Maps & Directions
Dr. Kenneth Evan Bloom is a Mooresville, North Carolina based male podiatrist with 29 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation in 1995. He is also affiliated with hospitals like Iredell Memorial Hospital Inc. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Evan Bloom for Podiatric Foot & Ankle Surgery is 414 in North Carolina.
Dr. Kenneth Evan Bloom provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Kenneth Evan Bloom speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatrist - Foot & Ankle Surgery
Credentials: DPM
Experience: 29+ years
Medical School Attended:Other
Graduation Year:1995
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:137 Professional Park Dr, Suite C, Mooresville,
North Carolina, 28117-6540
Phone:704-662-8336
Fax:704-662-8525
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1355383654
Enrollment ID: I20070619000148
NPI Number: 1811983372
NPI Enumeration Date: 21 Sep, 2005
NPI Last Update On: 07 Aug, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Evan Bloom are as mentioned below.
License NumberSpecializationStateStatus
414Podiatric Foot & Ankle Surgery North CarolinaPrimary
414Podiatry North CarolinaSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Iredell Memorial Hospital Inc (340039)Statesville, NCAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kenneth Evan Bloom is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Piedmont Healthcare Pa (9638070683)208
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Evan Bloom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
790800HMedicaidNorth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 137 Professional Park Dr, Suite C
Mooresville, North Carolina
Zip: 28117-6540
Phone Number: 704-662-8336
Fax Number: 704-662-8525
Patients can reach Dr. Kenneth Evan Bloom at 137 Professional Park Dr, Suite C, Mooresville, North Carolina or can call to book an appointment on 704-662-8336. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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