Braedan Bloom, PT,DPT in Gaithersburg, MD - Medicare Physical Therapist Provider

Braedan Bloom, PT,DPT is a medicare enrolled "Physical Therapist" provider in Gaithersburg, Maryland. His current practice location is 60 Market St Ste 206, Gaithersburg, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 990-9599.

Braedan Bloom is licensed to practice in Maryland (license number 30146) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013726975.

Contact Information

	Braedan Bloom, PT,DPT
	60 Market St Ste 206, Gaithersburg, MD 20878-6559
	(301) 990-9599
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Braedan Bloom
Gender	Male
Speciality	Physical Therapist
Location	60 Market St Ste 206, Gaithersburg, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013726975
Provider Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025

Medicare PECOS Information:

PECOS PAC ID: 9830627538
Enrollment ID: I20250108003536

Medical Identifiers

Medical identifiers for Braedan Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013726975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	30146 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Braedan Bloom allows following entities to bill medicare on his behalf.

Provider Name	Proflex Physical Therapy Of Maryland Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558714824 PECOS PAC ID: 7416244322 Enrollment ID: O20160921000205

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Braedan Bloom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Braedan Bloom, PT,DPT Po Box 791217, Baltimore, MD 21279-1217 Ph: (301) 932-4786	Braedan Bloom, PT,DPT 60 Market St Ste 206, Gaithersburg, MD 20878-6559 Ph: (301) 990-9599

Reviews and Comments

Physical Therapist in Gaithersburg, MD

Ms. Jannelle Solange Barrow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Russell Ave, Gaithersburg, MD 20877 Phone: 301-216-4247 Fax: 301-216-4249
Mrs. Karen Frias Wyson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Russell Ave, Gaithersburg, MD 20877 Phone: 301-987-6170
Kevin Dolan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 828 Muddy Branch Rd # 14, Gaithersburg, MD 20878 Phone: 301-685-1311
Christina Ellen Lee, PT, MPH, PHD, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Crown Farm Dr, Gaithersburg, MD 20878 Phone: 317-732-8802
Minds In Motion Children's Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8041 Cessna Ave Ste 232, Gaithersburg, MD 20879 Phone: 301-977-9393 Fax: 301-977-9394
Eric Lee, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9123 Gaither Rd, Gaithersburg, MD 20877 Phone: 909-496-3468

Braedan Bloom, PT,DPT - Medicare Physical Therapist in Gaithersburg, MD