NPIMap

Organization Active NPI

Robert F. Bloom MD

  • Procedural Dermatology Physician
  • Bonham, TX
National Provider Identifier
1013596758
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
ROBERT F. BLOOM MD
Practice address
1211 E 6TH St Ste 150
Bonham, TX 75418-4072
Phone
(903) 583-3376
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Robert F Bloom, MD
Title
MD
Phone
(903) 227-3974

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1211 E 6TH St Ste 150
Bonham, TX 75418-4072

Mailing address

1211 E 6TH St Ste 150
Bonham, TX 75418-4072
Phone (903) 583-3376

Other practice location 1

3900 Joe Ramsey Blvd E Ste 6
Greenville, TX 75401-7705
Phone (903) 455-1100

Other identifiers 1

IdentifierTypeStateIssuer
098348802MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maddi@drbloom.emadirect.md Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: maddi@drbloom.emadirect.md

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1013596758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E 6TH ST STE 150",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184072",
            "telephone_number": "903-583-3376",
            "fax_number": "903-640-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E 6TH ST STE 150",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184072",
            "telephone_number": "903-583-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Joe Ramsey Blvd E Ste 6",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017705",
            "country_code": "US",
            "telephone_number": "903-455-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT F. BLOOM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "903-227-3974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098348802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maddi@drbloom.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "direct mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1211 E 6th St Ste 150",
            "city": "Bonham",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754184072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bonham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.