NPI 1013726975
Braedan Bloom, PTDPT
Practice location
- Address
- 60 Market St STE 206, Gaithersburg, MD 20878-6559
- Phone
- (301) 990-9599
- Mailing address
- PO Box 791217, Baltimore, MD 21279-1217
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1013726975
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jan 2025
- Record last updated
- 6 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.