Active NPI
Richard R. Bloom M.D. LLC
- Surgery Physician
- Columbus, GA
National Provider Identifier
1831273259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
- Last updated
- Apr 3, 2008
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1900 5TH Ave
Columbus, GA 31904-8916
Mailing address
PO Box 7811
Columbus, GA 31908-7811
Phone (706) 576-4474
National Provider Directory
National Provider DirectoryLocations
1900 5th Ave
Columbus, GA 31904
Phone (706) 576-4474
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Columbus, GA
- NPI 1952481251
-
- Family Nurse Practitioner
- Columbus, GA
- NPI 1427272830
-
- Contractor
- Columbus, GA
- NPI 1366694382
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- 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.