Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN MICHAEL BLOOM, MD
Active Sole ProprietorNATHAN MICHAEL BLOOM, MD is a Family Medicine healthcare provider located in LAWRENCE, Kansas. NPI 1164629218 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAWRENCE, KS
Registration Details
- NPI Number
- 1164629218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2007 (19.109097186709 yrs)
- Last Updated
- Dec 6, 2022
- Licenses
-
9406871 (KS)0432319 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4921 W 18TH STLAWRENCE, KS, 660472090Browse KS providers · Browse ZIP 66047
- Phone
- 7858300100
- Fax
- 7858300115
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAWRENCE, KS
| Name | Credential | NPI |
|---|---|---|
| STEVEN BRUNER | M.D. | 1962405324 |
| MALATI K HARRIS | MD | 1982607347 |
| PAMELA HUERTER | M.D. | 1720081177 |
| SHERRI S. VAUGHN | MD | 1356344709 |
| LORRAINE NICHOLS | D.O. | 1396748745 |
| DEBORAH A ANDERSON | MD | 1538168851 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.