Byron J Bloom, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

922 Issued in TN

Practice address

112 Airport Business Park Dr
Shelbyville, TN 37160-7452

Phone

(931) 680-6360

Fax

(931) 680-9909

NPI assigned

Feb 8, 2008

Last updated

Apr 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: byron.bloom.pa-c.m.s.1@3755.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3755/brand/2/csg/1/fhir/r4
• Direct secure messaging: jamie.bloom.p.a-c.m.s.1@3755.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hardin Family Medicine PLLC

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1497625826
  Medicare reassignment
• Privia Medical Group Tennessee LLC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1376110858
  Medicare reassignment
• Joseph Howard Rupard, M D

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1861451338
  Medicare reassignment
• Celebration Family Care PLLC

  • Rural Health Clinic/Center
  • Lewisburg, TN
  • NPI 1891053823
  NPD
• Joseph Howard Rupard MD

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1194915793
  NPD (past)
• Shelbyville Medical Group, PLLC

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1699177956
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1801074042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 BURGESS ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287641",
            "telephone_number": "615-519-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK DR",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607452",
            "telephone_number": "931-680-6360",
            "fax_number": "931-680-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "883 Union St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371602607",
            "country_code": "US",
            "telephone_number": "931-685-1145",
            "fax_number": "931-685-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "BYRON",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801074042",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "922",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clement F Bernard, M.D.
• Bryan Berry, APRN, FNP-BC, ONP-C
• Sarah Berry, PA-C
• Ann Blankenship, LPC-MHSP
• Leigh V Blaylock, DPH RPH
• Blue Ribbon Medical
• Victoria Lynn Bott, LPN
• Tammy Sue Boyette
• Brian Peterson Orthopedics, PLLC
• Sarah Beth Bridge, NP-C

• Medical Physician Assistant in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.