ROBERT A BLOOM MD
NPI 1457386104
Urology in Lynn Haven, FL

Active since July 11, 2006
2900 S HIGHWAY 77, LYNN HAVEN, FL 32444(850) 481-1687(850) 640-0761 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 13, 2017 (3 updates tracked since 2017).

About Robert A Bloom Md NPPES

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

ROBERT A BLOOM MD (NPI 1457386104) is an individual urology provider in Lynn Haven, Florida, licensed in Texas (M5061) and active in the NPI registry since July 2006. He maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1457386104
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameROBERT A BLOOMCredential: MD
Location Address2900 S HIGHWAY 77Lynn Haven, FL 32444-5612
Mailing Address2900 S Highway 77Lynn Haven, FL 32444-5612 · (850) 481-1687 · Fax (850) 640-0761
Fax(850) 640-0761
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1457386104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · M5061
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2900 S HIGHWAY 77, Lynn Haven, FL 32444

Secondary Practice Location 1

Location 1416 S Henderson StFort Worth, TX 76104-1017 · Phone (817) 338-4636 · Fax (817) 335-5421

Other Identifiers 2

Medicaid184011801TX
Medicaid184011802TX

Other Providers at the Same Location NPPES 4

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

Radiology (Radiation Oncology)
2900 S HIGHWAY 77
LYNN HAVEN, FL 32444
Radiology (Radiation Oncology)
2900 S HIGHWAY 77
LYNN HAVEN, FL 32444
Radiology (Radiation Oncology)
2900 S HIGHWAY 77
LYNN HAVEN, FL 32444
Internal Medicine (Hematology & Oncology)
2900 S HIGHWAY 77
LYNN HAVEN, FL 32444

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 Robert Bloom's NPI number?

The NPI number for Robert Bloom is 1457386104. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Robert Bloom located?

Robert Bloom practices at 2900 S Highway 77, Lynn Haven, FL 32444. The listed phone number is (850) 481-1687.

What is Robert Bloom's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Robert Bloom was last updated on July 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.