Richard R. Bloom M.D. LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RICHARD R. BLOOM M.D. LLC

Practice address

1900 5TH Ave
Columbus, GA 31904-8916

Phone

(706) 576-4474

Fax

(706) 576-5940

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Richardo Bloom, M.D.

Title

Ceo

Phone

(706) 576-4474

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Karen Patrice McDade, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1427272830
  NPD (past)
• John Bronson Robinson

  • Contractor
  • Columbus, GA
  • NPI 1366694382
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1831273259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7811",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319087811",
            "telephone_number": "706-576-4474",
            "fax_number": "706-576-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 5TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048916",
            "telephone_number": "706-576-4474",
            "fax_number": "706-576-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R. BLOOM M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RICHARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-576-4474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312282",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00476693",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Letisha Yvonne Rice, LPN
• Mariele Rice
• Morgan Kennedi Rice
• Shemeika Rice
• Richard K. Straus, D.M.D
• Richard S Robbins MD PC
• Lasheree Richardson-James, PARAPROFESSIONAL
• Carole Ann Richardson, PHARM.D.
• Faith Richardson
• Jackerland Richardson

• Surgery Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.