Bloom Physician Housecalls II, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLOOM PHYSICIAN HOUSECALLS II, PA

Practice address

8000 W Interstate 10 Ste 201
San Antonio, TX 78230-3879

Phone

(303) 993-1330

NPI assigned

Aug 6, 2026

Organization subpart

No

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

Authorized official

Name

Debra Kay Moon Wadelton

Title

Authorized Official

Phone

(720) 923-1250

Specialties & licenses 1

Addresses

Tax ID family

Bloom Physician Housecalls II PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bloom Physician Housecalls II, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1508780198
  NPD tax ID

Locations

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1386568970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153733",
            "telephone_number": "303-993-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W INTERSTATE 10 STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303879",
            "telephone_number": "303-993-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PHYSICIAN HOUSECALLS II, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "MOON WADELTON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "720-923-1250"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Blong, DC
• Bloom Behavioral & Educational Solutions, LLC
• Bloom Circle Counseling, PLLC
• Bloom Counseling Services PLLC
• Bloom Hospice of Texas, LLC (Bloom Hospice)
• Bloom Physician Housecalls II, PA
• Bloom Physician Housecalls PA
• Bloom Physician Housecalls, PA
• Michael Patrick Bloomfield, PHARMD
• Blossom Center for Children LLC

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, 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 Aug 6, 2026; 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.