ROBERT A BLOOM (NPI# 1457386104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457386104 |
Entity Type | Individual |
Full Name | ROBERT A BLOOM |
Credential | MD |
Practice Address |
2900 S Highway 77 Lynn Haven FL 32444-5612 |
Practice Telephone | (850) 481-1687 |
Practice Fax Number | 8506400761 |
Mailing Telephone | (850) 481-1687 |
Mailing Fax Number | 8506400761 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | M5061 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 184011801 | 05 | |
TX | 184011802 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
416 S Henderson St, Fort Worth, TX 761041017 | 8173384636 | 8173355421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548363971 | Robert Franklin Bloom | Dermatology | 3413 20th St, Lubbock, TX 79410 | 2006-09-07 |
1821014846 | Robert Leslie Bloom | Internal Medicine | Northern Virigina Pulmonary & Critical Care Assoc. PC, 3289 Woodburn Road, 350, Annandale, VA 22003 | 2006-07-14 |
1740713312 | Robert Bloom | Physical Therapy Assistant | 2018 Se Federal Hwy, Stuart, FL 34994-3918 | 2017-04-10 |
1942322052 | Robert Jeffrey Bloom | Social Worker | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-06 |
1467527143 | Robert Jay Bloom | Dentist | 393 N Dunlap St, Suite 100 Central Medical Bldg, St Paul, MN 55104 | 2006-11-21 |
1760413389 | Robert E. Bloom | Internal Medicine | 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075-3707 | 2006-07-05 |
1396786935 | Robert Bloom | Radiology | 2700 Low Ct, Fairfield, CA 94534-9715 | 2006-06-08 |
1578512893 | Robert Todd Bloom | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-05-06 |
1609850932 | Robert W Bloom | Psychiatry & Neurology | 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 | 2005-11-30 |
1730161910 | Robert Bloom | Psychologist | 5384 Poplar Ave, Suite 313, Memphis, TN 38119-3609 | 2005-11-15 |
Street Address |
2900 S HIGHWAY 77 |
City | LYNN HAVEN |
State | FL |
Zip Code | 32444-5612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871552638 | Jefferson Mason Trupp | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2006-03-21 |
1568983781 | Jefferson M Trupp Md Pa | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2017-06-28 |
1669599296 | Jagjit Singh Tandon | Internal Medicine | 2900 S Highway 77, Lynn Haven, FL 32444 | 2007-03-26 |
1326162470 | Radiation Oncology Specialists LLC | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2007-03-16 |
1447210927 | Hasan Murshed | Radiology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
1487155149 | Hope Abigail Koller | Behavior Technician | 2007 Brenda Circle, Lynn Haven, FL 32444 | 2018-02-27 |
1871849836 | Kristopher D Isenberg | Physical Therapy Assistant | 307 Geralo Lane, Lynn Haven, FL 32444 | 2012-07-27 |
1699067942 | Nation's Best Family Health Care Pllc | Family Medicine | 817 Ohio Avenue, Lynn Haven, FL 32444 | 2011-05-04 |
1992989883 | Medstop Pl LLC | Family Medicine | 3003 State Highway 77, Suite A, Lynn Haven, FL 32444 | 2007-12-27 |
1407062508 | Dianne Basford Ray | Pharmacist | 1812 Hwy 77 So, Unit #119, Lynn Haven, FL 32444 | 2007-05-15 |
1467679142 | St. Andrew Bay Center, Inc. | Day Training, Developmentally Disabled Services | 1804 Carolina Avenue, Lynn Haven, FL 32444 | 2007-04-20 |
1003030412 | Velma L Murphy | Case Manager/Care Coordinator | 1312 Virginia Avenue, Lynn Haven, FL 32444 | 2007-04-13 |
1437285087 | Fred William Werner | Pharmacist | 1812 Hwy 77 South, Lynn Haven, FL 32444 | 2007-02-26 |
1689746588 | Shawn Dey Walker | Massage Therapist | 1405 Wyoming Ave, Lynn Haven, FL 32444 | 2006-11-15 |
Find all providers in zip 32444 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
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1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
Find all providers with the same taxonomy |
City | LYNN HAVEN |
Zip Code | 32444 |
Please comment or provide details below to improve the information on ROBERT A BLOOM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.