GARY ALLAN BLOOM M.D.
NPI 1194947010
General Practice in Colorado Springs, CO

Active since May 02, 2007
4190 E WOODMEN RD STE 200, COLORADO SPRINGS, CO 80920(719) 265-6464(719) 265-6750 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Allan Bloom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY ALLAN BLOOM M.D. (NPI 1194947010) is an individual general practice provider in Colorado Springs, Colorado, licensed in Colorado (17828) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194947010
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameGARY ALLAN BLOOMCredential: M.D.
Location Address4190 E WOODMEN RD STE 200Colorado Springs, CO 80920-8075
Mailing Address230 Shady Oak GroveColoradoo Springs, CO 80916 · (719) 321-4607
Fax(719) 265-6750
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateMay 19, 2009
NPI 1194947010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CO · 17828
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4190 E WOODMEN RD STE 200, Colorado Springs, CO 80920

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
4190 E WOODMEN RD STE 200
COLORADO SPRINGS, CO 80920
Podiatrist
4190 E WOODMEN RD STE 200
COLORADO SPRINGS, CO 80920
Physician Assistant
4190 E WOODMEN RD STE 200
COLORADO SPRINGS, CO 80920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Bloom's NPI number?

The NPI number for Gary Bloom is 1194947010. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Gary Bloom located?

Gary Bloom practices at 4190 E Woodmen Rd Ste 200, Colorado Springs, CO 80920. The listed phone number is (719) 265-6464.

What is Gary Bloom's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gary Bloom was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.