Active NPI
Norman a. Bloom, MD PA
- Urology Physician
- Aventura, FL
National Provider Identifier
1164548905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME14272
- Legal business name
- NORMAN A. BLOOM, MD PA
- Practice address
- 2999 NE 191St St
Suite 310
Aventura, FL 33180-3123 - Phone
- (305) 825-8669
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norman Bloom
- Title
- Owner
- Phone
- (305) 825-8669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME14272 | FL | Primary |
Addresses
Primary practice location
2999 NE 191St St
Suite 310
Aventura, FL 33180-3123
Mailing address
PO Box 173633
Hialeah, FL 33017-3633
National Provider Directory
National Provider DirectoryLocations
1 SW 129th Ave
Ste 109
Pembroke Pines, FL 33027
Phone (954) 433-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Aventura, FL
- NPI 1104844059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164548905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173633",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330173633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 NE 191ST ST",
"address_2": "SUITE 310",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331803123",
"telephone_number": "305-825-8669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN A. BLOOM, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-825-8669"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "FL",
"license": "ME14272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.