BLOOM CHIROPRACTIC CENTER PA
NPI 1417075532
Chiropractor in Burnsville, MN

Active since March 27, 2007
1606 CLIFF RD E, BURNSVILLE, MN 55337(952) 894-6300(952) 894-2601 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bloom Chiropractic Center Pa NPPES

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

BLOOM CHIROPRACTIC CENTER PA (NPI 1417075532) is a healthcare organization registered as a chiropractor in Burnsville, Minnesota and active in the NPI registry since March 2007. The organization lists Kathleen Ann Bloom, President, as its authorized official.

NPPES Registry Identity

NPI1417075532
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBLOOM CHIROPRACTIC CENTER PA
Location Address1606 CLIFF RD EBurnsville, MN 55337-1300
Mailing Address1606 Cliff Rd EBurnsville, MN 55337-1300 · (952) 894-6300 · Fax (952) 894-2601
Fax(952) 894-2601
Organization SubpartNo
Authorized OfficialKathleen Ann BloomPresident · (952) 894-6300
Enumeration DateMarch 27, 2007
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1417075532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 2077
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1606 CLIFF RD E, Burnsville, MN 55337

Other Identifiers 1

Medicaid706527200MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloom Chiropractic Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bloom Chiropractic Center PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1073611497
1606 CLIFF RD E
Burnsville, MN 55337
(952) 894-6300
✔ Accepts MedicareSame address
Chiropractic
NPI 1053049189
1602 CLIFF ROAD EAST
Burnsville, MN 55337
(612) 710-7756
✔ Accepts MedicareSame address
Chiropractic
NPI 1811067705
2479 E. COUNTY RD. E
White Bear Lake, MN 55110
(651) 770-5433
✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bloom Chiropractic Center PA's NPI number?

The NPI number for Bloom Chiropractic Center PA is 1417075532. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Bloom Chiropractic Center PA located?

Bloom Chiropractic Center PA is located at 1606 Cliff Rd E, Burnsville, MN 55337. The listed phone number is (952) 894-6300.

What is Bloom Chiropractic Center PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bloom Chiropractic Center PA enrolled in Medicare?

Yes. Bloom Chiropractic Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Chiropractic Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Bloom Chiropractic Center PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bloom Chiropractic Center PA accept?

Health plans from HealthPartners list Bloom Chiropractic Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloom Chiropractic Center PA was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.