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Richard John Bloomingdale

Internal Medicine

Allopathic & Osteopathic Physicians

3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

PECOS Enrollment

This provider is enrolled in PECOS as RICHARD BLOOMINGDALE.

Based on the most recent information from CMS, provider Richard John Bloomingdale is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:21 AM.

Profile Details

Provider ID
1245573716
Provider Type
Individual
Full Name
Bloomingdale, Richard John
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/2/2013
Last Updated
7/25/2022

Contact Information

Practice Location

3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

(248) 898-4163

(248) 898-5596

Mailing Location

26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

(947) 522-1865

(947) 522-0307

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4301103582 Michigan
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 4301103582 Michigan

Richard John Bloomingdale

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Berghea, Ramona

Fecko, Alice Marie

Khalil M. Karadsheh, M.D., P.C.

Royal Oak Medical Center Pc

Robin S. Ehrmann, Md Pc

Cuchelkar, Tejas Pandurang

Gyawali, Pawan

George, Mumtaz

Kakish, Tariq

Dilworth, Joshua