Provider Demographics
NPI:1386200962
Name:BLOOMFIELD, CARLEY DRYE (DO)
Entity type:Individual
Prefix:
First Name:CARLEY
Middle Name:DRYE
Last Name:BLOOMFIELD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7009
Mailing Address - Country:US
Mailing Address - Phone:336-889-8446
Mailing Address - Fax:
Practice Address - Street 1:1801 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7009
Practice Address - Country:US
Practice Address - Phone:336-889-8446
Practice Address - Fax:336-878-7275
Is Sole Proprietor?:No
Enumeration Date:2019-05-19
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-01719207RH0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine