Robert F. Bloom, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

F0391 Issued in TX

Legal business name

ROBERT F. BLOOM, MD, PA

Practice address

3413 20TH St
Lubbock, TX 79410-1205

Phone

(806) 797-6631

Fax

(806) 797-6748

NPI assigned

Jul 17, 2007

Last updated

Sep 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Franklin Bloom, MD, PA

Title

Dermatologist

Phone

(806) 797-6631

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margarita Ann Gonzales, PA-C

  • Medical Physician Assistant
  • Edinburg, TX
  • NPI 1659440949
  NPD (past)
• Joseph Michael Wilkinson, FNP-BC

  • Nurse Practitioner
  • Smithfield, NC
  • NPI 1588685937

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1164621215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 20TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101205",
            "telephone_number": "806-797-6631",
            "fax_number": "806-797-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 20TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101205",
            "telephone_number": "806-797-6631",
            "fax_number": "806-797-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. BLOOM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "806-797-6631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F0391",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "F0391",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "F0391",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00FC57",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci Roark, BSN, RN, CA/CP SANE
• Summer Ketron Roark, D.D.S.
• Jazzlyn Roberson
• Kerri Leanne Roberson, M.S., CCC-SLP
• Kevin Lee Roberson, M.S., CCC-SLP
• Robert J Mamlok
• Robert J. Coolbaugh, DC, Dba Lubbock Accident and Injury Rehab
• Robert P. Schmid, MD, PA (Lubbock Plastic Surgery Institute)
• Robert W Perry, Inc. (TheraCare)
• Robert W. Buchanan DC PA (34th Street Chiropractic)

• Dermatology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.