C a Bloom MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M5060 Issued in TX

Legal business name

C A BLOOM MD PLLC

Practice address

1151 N Buckner Blvd
Suite 407
Dallas, TX 75218-3426

Phone

(214) 206-1445

Fax

(972) 908-2844

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher A Bloom, MDNPI 1518967686

Title

Physician Owner

Phone

(214) 206-1445

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Christopher A. Bloom, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1518967686
  Medicare reassignment NPD Authorized official
• Obinna Chukwuocha, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Plano, TX
  • NPI 1316997455
  NPD (past)
• Sarah Elizabeth Guido

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1174081756
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1346395233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251166",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251166",
            "telephone_number": "214-206-1445",
            "fax_number": "972-908-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "SUITE 407",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-206-1445",
            "fax_number": "972-908-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C A BLOOM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "214-206-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0011PG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186021502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Byrne, MD
• Francesca Byrne, M.D.
• Gregory J Byrne, MD
• Gokul K Bysani, MD
• Stephanie Sooyeon Byun, MD
• C and I International Inc
• C and I International Inc.
• C C Young Memorial Home
• C Daryl Curry MD PA
• C F & H Corporation

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.