NPIMap

Organization Active NPI

Bloom OB GYN, LLC

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1093168809
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BLOOM OB GYN, LLC
Practice address
4001 Brandywine St NW Ste 300
Washington, DC 20016-1876
Phone
(202) 449-9570
Fax
(202) 449-9513
NPI assigned
Jul 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Dr. Scott Osmun, MDNPI 1164623930
Title
Authorized Official
Phone
(202) 449-9570

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4001 Brandywine St NW Ste 300
Washington, DC 20016-1876

Mailing address

4001 Brandywine St NW
Suite 300
Washington, DC 20016-1876
Phone (202) 449-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118001846 DC Part B Supplier - Clinic/Group Practice 7810276623 Receives reassigned benefits from 12 practitioners
Practice locations: Washington, DC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D2122840Bloom OB/GYN4001 Brandywine Street NW Suite 300, Washington, DC 20016Provider-performed microscopyDec 6, 2026

National Provider Directory

National Provider Directory

Locations

4001 Brandywine St NW
#300
Washington, DC 20016

4001 Brandywine St NW
Unit 300
Washington, DC 20016

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1093168809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-449-9570",
            "fax_number": "202-449-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-449-9570",
            "fax_number": "202-449-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM OB GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-16",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "OSMUN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "202-449-9570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.