IndividualActiveAccepts Medicare

Charlotte Bloom, DO

NPI 1316640683 · Student in an Organized Health Care Education/Training Program · Lebanon, NH

Enrolled with Medicare as Order and Referring Only - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1316640683
Entity type: Individual
Primary specialty: Student in an Organized Health Care Education/Training ProgramStudent, Health Care
Credential: DO
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Student in an Organized Health Care Education/Training ProgramPrimary390200000X
Student, Health Care

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1 Medical Center Dr

Lebanon, NH 03756-0001

Phone: (603) 650-5000

Approximate (ZIP-level) locationGet directions

More NH providers

Mailing address

1 Medical Dr