Bloom Reproductive Institute, PLLC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

42873 Issued in AZ

Legal business name

BLOOM REPRODUCTIVE INSTITUTE, PLLC

Practice address

8415 N Pima Rd
Ste 290
Scottsdale, AZ 85258-4480

Phone

(480) 434-6565

Fax

(480) 383-6426

NPI assigned

Nov 13, 2014

Organization subpart

No

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

Authorized official

Name

Millie A Behera, M.D.NPI 1912932559

Title

Physician

Phone

(480) 434-6565

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 6

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

• Millie Aliva Behera, MD

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
  • NPI 1912932559
  NPD (past) Authorized official
• Taylor Leigh-Anne Shaw, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1710703251
  NPD (past)
• Diane Ethel Woodford, M.D.

  • Reproductive Endocrinology Physician
  • Scottsdale, AZ
  • NPI 1629026034
  NPD (past)
• Catherine Gordon, M.D.

  • Reproductive Endocrinology Physician
  • Irvine, CA
  • NPI 1114307329
  NPD (past)
• Kellie Jean Klein, PA-C

  • Physician Assistant
  • Pasadena, CA
  • NPI 1619580461
  NPD (past)
• Lauren Danielle Reschke, M.D

  • Reproductive Endocrinology Physician
  • Lutherville, MD
  • NPI 1114266343
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1588060875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "STE 290",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-434-6565",
            "fax_number": "480-383-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "STE 290",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-434-6565",
            "fax_number": "480-383-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM REPRODUCTIVE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "BEHERA",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-434-6565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AZ",
            "license": "42873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison T Blitz, LPC
• Emily Bloch
• Allan M Block, M.D.
• Kristina B. Blohm, M.D.
• Blood Systems Inc.
• Bloom Wellness Clinics, LLC
• Barbara M Bloom, MS, CCC-SLP
• Charina A Bloomenstein, PT
• Marc Bloomenstein, OD
• Mindi G Bloomenstein, PT

• Reproductive Endocrinology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Reproductive Endocrinology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.