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Bloom Healthcare

Internal Medicine Physician in Maineville, OH · enumerated 2018 · authorized official Debra Wadelton, Revenue Cycle Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033680400

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Registry record

Entity type Organization (Type 2)
Legal business name Bloom Healthcare
Practice address 954 Sedgefield Ct, Maineville, OH, 45039
Enumeration date Dec 11, 2018
Last updated in NPPES Dec 11, 2018

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Debra Wadelton
Title Revenue Cycle Manager

Other identifiers

Identifier Type State Issuer
16108272 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Bloom Healthcare?
Bloom Healthcare is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-11.