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ANDREA BLOOM PHYSICIAN ASSISTANT
NPI 1417618943
Physician Assistant in Fort Bragg, NC

Active since January 06, 2022
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(480) 606-8676 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Jan 6, 2022 (2 updates tracked since 2022).

About Andrea Bloom Physician Assistant NPPES

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

ANDREA BLOOM PHYSICIAN ASSISTANT (NPI 1417618943) is an individual physician assistant in Fort Bragg, North Carolina and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1417618943
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA BLOOMCredential: PHYSICIAN ASSISTANT
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001
Phone(480) 606-8676
Sole ProprietorNo
Enumeration DateJanuary 6, 2022
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1417618943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310
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Other Providers at the Same Location NPPES 20

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

JOSEPH CLAIR
Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
ERIN FOLEY PT, DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8709
MICHAEL ANDREW SLACK DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (224) 715-1689
MRS. COLLEEN MARGARET REMINSKY LAT, ATC
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 908-9663
ROBERT AUSTIN JONES PA-C
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
JUSTINA JEAN AHN DMD
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JOSEPH PAUL BRITVEN
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7698

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 Andrea Bloom's NPI number?

The NPI number for Andrea Bloom is 1417618943. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Andrea Bloom located?

Andrea Bloom practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (480) 606-8676.

What is Andrea Bloom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Andrea Bloom was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.