Bloom Gynecology LLC
Organization Active NPI Gynecology Physician · Midlothian, TX
NPI 1073129458 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1073129458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gynecology Physician 207VG0400X
- Legal business name
- BLOOM GYNECOLOGY LLC
- Practice address
- 800 Highlander Ave Ste 300
Midlothian, TX 76065-3515 - Phone
- (682) 900-1040
- Fax
- (682) 847-7520
- NPI assigned
- Sep 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Sara Christine Northrop, DO
- Title
- Doctor
- Phone
- (817) 542-5912
Practitioners 4
-
Patchika M Aubourg, PA-C
-
India Antoine, APRN, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2201601 | Bloom Gynecology | Certificate of waiver | Nov 22, 2026 |
National Provider Directory
Locations
800 Highlander Ave
Ste 300
Midlothian, TX 76065
Phone (682) 222-7830
1311 Ferris Ave
Ste A
Waxahachie, TX 75165
Phone (214) 903-8070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician |
207VG0400X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
800 Highlander Ave Ste 300
Midlothian, TX 76065-3515
Mailing address
800 Highlander Ave Ste 300
Midlothian, TX 76065-3515
Phone (682) 900-1040
Other providers in Midlothian, TX
- Briana Barajas Bergman
- Stewart Berry
- Beyond Wellness Total Care PLLC
- Sonia Bhutra
- Blessed Soul Healthcare
- Blooming Rose Health Group, PLLC
- Raheal Boadi-Yeboah
- Dereke Bogier
- Kristen Michelle Bold
- Melissa Boler
All providers in Midlothian, TX · Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.