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BLOOM OB GYN LLC NPI 1093168809


NPI Information

NPI: 1093168809
Provider Name: BLOOM OB GYN, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 09D2122840

Address:
4001 BRANDYWINE ST NW STE 300
WASHINGTON, DC
ZIP 20016
Phone: (202) 449-9570
Get Directions

BLOOM OB GYN, LLC is an obstetrics gynecology in Washington, DC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BLOOM OB GYN, LLC NPI is 1093168809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 BRANDYWINE ST NW STE 300
WASHINGTON, DC
ZIP 20016-876
Phone: (202) 449-9570
Fax: (202) 449-9513

The provider's authorized official is Scott Osmun .
The authorized official title is Authorized Official and has the following contact phone number (202) 449-9570.

The CLIA number assigned to this NPI record is 09D2122840 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/16/2016 and was last updated on 3/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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