Individual provider Active NPI

George Barnes Bloom II, MD

  • Internal Medicine Physician
  • Magnolia, AR
National Provider Identifier
1003495268
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-18351 Issued in AR
Practice address
101 Hospital Dr
Magnolia, AR 71753-2415
Phone
(870) 235-3000
Fax
(575) 235-6696
NPI assigned
Apr 5, 2021
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-18351 AR Primary

Addresses

Primary practice location

101 Hospital Dr
Magnolia, AR 71753-2415

Mailing address

101 Hospital Dr
Magnolia, AR 71753-2415
Phone (870) 235-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104001407 AR Practitioner - Internal Medicine 9739580077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCC of Magnolia LLCGroup PAC ID 3779980750, 9 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

101 Hospital Dr
Magnolia, AR 71753-2415
Phone (870) 235-3000

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-18351ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springdale- Bentonville HBP Services, LLC CurrentSince Sep 16, 2025 Accepting new patients
HCC of Magnolia LLC CurrentSince Sep 9, 2024 Accepting new patients
Siloam Springs Arkansas Hospital Company LLC Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1003495268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532415",
            "telephone_number": "870-235-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532415",
            "telephone_number": "870-235-3000",
            "fax_number": "575-235-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "GEORGE",
        "middle_name": "BARNES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-18351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.