BLOOM MED, LLC
NPI 1447140504
Clinic/Center - Health Service in Chandler, AZ

Q: What is Bloom Med, LLC's NPI number?

The NPI number for Bloom Med, LLC is 1447140504. It was assigned to this organization in the NPPES registry on July 8, 2025.

Q: What is Bloom Med, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Q: When was this NPI record last updated?

The NPPES record for Bloom Med, LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since July 08, 2025

2301 S STEARMAN DR, CHANDLER, AZ 85286(520) 800-5676 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bloom Med, Llc NPPES

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

BLOOM MED, LLC (NPI 1447140504) is a healthcare organization registered as a health service in Chandler, Arizona and active in the NPI registry since July 2025. The organization lists Mark Goforth, Owner, as its authorized official.

NPPES Registry Identity

NPI1447140504

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameBLOOM MED, LLC

Location Address2301 S STEARMAN DRChandler, AZ 85286-2263

Mailing Address2301 S Stearman DrChandler, AZ 85286-2263 · (520) 800-5676

Phone(520) 800-5676

Organization SubpartNo

Authorized OfficialMark GoforthOwner · (520) 904-7987

Enumeration DateJuly 8, 2025

NPPES CertifiedJuly 8, 2025

✔ NPI 1447140504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

2301 S STEARMAN DR, Chandler, AZ 85286

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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 Med, LLC's NPI number?

The NPI number for Bloom Med, LLC is 1447140504. It was assigned to this organization in the NPPES registry on July 8, 2025.

Where is Bloom Med, LLC located?

Bloom Med, LLC is located at 2301 S Stearman Dr, Chandler, AZ 85286. The listed phone number is (520) 800-5676.

What is Bloom Med, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Bloom Med, LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.