Robert a Bloom MD PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ROBERT A BLOOM MD PLLC

Practice address

416 S. Henderson St.
Fort Worth, TX 76104

Phone

(817) 338-4636

Fax

(817) 335-5421

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Robert A Bloom, MD

Title

Doctor

Phone

(817) 338-4636

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert A Bloom MD Doing business as

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1023401510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S. HENDERSON ST.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-338-4636",
            "fax_number": "817-335-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S. HENDERSON ST.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-338-4636",
            "fax_number": "817-335-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A BLOOM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-338-4636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184011801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert A Bloom MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Jolene Roberds, APRN, PMHNP-BC
• Baker Mays Roberson
• Brandon A Roberson, MD
• Michelle L Roberson, LMSW
• Tracey Roberson, MS, RN, FNP-C
• Robert B, Peak, DDS, PLLC
• Robert Batton DDS Inc
• Robert D. Esparza, DDS, PC
• Robert D. Esparza, DDS, PC
• Robert D. Menzies, MD, PLLC

• Urology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.