HEATHER LYNN BLOOM MD NPI 1235165119

NPI Information

  • NPI: 1235165119
  • Provider Name: HEATHER LYNN BLOOM, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2120 STARFIRE DR NE
    ATLANTA, GA
    ZIP 30345
  • Phone: (404) 321-6111

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NPI Details

Heather Lynn Bloom, MD is a cardiovascular disease internal medicine in Atlanta, GA with 30 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Heather Lynn Bloom, MD NPI is 1235165119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

2120 STARFIRE DR NE
ATLANTA, GA
ZIP 30345-964
Phone: (404) 321-6111
Fax: (404) 329-2211

The NPI 1235165119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease053374GEORGIAYes
2207RC0001XInternal MedicineClinical Cardiac Electrophysiology053374GEORGIANo

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: 11/21/2025

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