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KENDALL BLAKE BLOOMER DC
NPI 1437901774
Chiropractor in Stuart, FL

Active since April 02, 2024Accepts Medicare Assignment
401 SE OSCEOLA ST, STUART, FL 34994(772) 247-1077 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kendall Blake Bloomer Dc NPPES

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

KENDALL BLAKE BLOOMER DC (NPI 1437901774) is an individual chiropractor in Stuart, Florida, licensed in Florida (14973) and active in the NPI registry since April 2024. He is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1437901774
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKENDALL BLAKE BLOOMERCredential: DC
Location Address401 SE OSCEOLA STStuart, FL 34994-2503
Mailing Address401 Se Osceola StStuart, FL 34994-2503
Phone(772) 247-1077
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1437901774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 14973
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.
401 SE OSCEOLA ST, Stuart, FL 34994
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendall Blake Bloomer Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527594977
PECOS Enrollment IDI20241209001144

Medicare Billing Reassignment

Medicare enrollment records show Kendall Bloomer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Wellness Centers LLC
12 mi
Chiropractor
10050 SW INNOVATION WAY, SUITE 201
Port St Lucie, FL 34987
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1639322712 (772) 879-8700

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

Other Providers at the Same Location NPPES

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

MARIA NIETO M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
401 SE OSCEOLA ST, STE 200A
STUART, FL 34994
Martin County (561) 318-0252

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 Kendall Bloomer's NPI number?

The NPI number for Kendall Bloomer is 1437901774. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Kendall Bloomer located?

Kendall Bloomer practices at 401 SE Osceola St, Stuart, FL 34994. The listed phone number is (772) 247-1077.

What is Kendall Bloomer's specialty?

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

Is Kendall Bloomer enrolled in Medicare?

Yes. Kendall Bloomer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kendall Bloomer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Bloomer reassigns Medicare benefits to Premier Wellness Centers LLC (Port St Lucie, FL). The 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 Kendall Bloomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendall Bloomer was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.