NPIMap

Organization Active NPI

Norman a Bloom MD PA

  • Urology Physician
  • Pembroke Pines, FL
National Provider Identifier
1023213782
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME14272 Issued in FL
Legal business name
NORMAN A BLOOM MD PA
Practice address
1 SW 129TH Ave
Suite 109
Pembroke Pines, FL 33027-1761
Phone
(305) 825-8669
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Norman Bloom, MDNPI 1942280706
Title
Owner
Phone
(305) 931-6663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME14272 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave
Suite 109
Pembroke Pines, FL 33027-1761

Mailing address

1 SW 129TH Ave
Suite 109
Pembroke Pines, FL 33027-1761
Phone (305) 825-8669

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1023213782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "address_2": "SUITE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "305-825-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "address_2": "SUITE 109",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "305-825-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN A BLOOM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-931-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME14272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.