Active NPI
Ashlie Gail Bloom, DO
- Otolaryngology Physician
- Tripler Army Medical Center, HI
National Provider Identifier
1669855953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- DOS-2265-0
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001 - Phone
- (808) 433-5334
- NPI assigned
- Jul 3, 2015
- Reactivated
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | DOS-2265-0 | HI | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-5334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-2265-0 | HI | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1669855953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "ASHLIE",
"middle_name": "GAIL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-03",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"deactivation_date": "2016-04-04",
"reactivation_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "HI",
"license": "DOS-2265-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tripler Army Medical Center, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.