DAVID ALAN BLOOM MD NPI 1609967132

NPI Information

  • NPI: 1609967132
  • Provider Name: DAVID ALAN BLOOM, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 E MEDICAL CENTER DR
    4TH FLOOR CLINIC B ROOM 4807
    ANN ARBOR, MI
    ZIP 48109
  • Phone: (734) 936-7030

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NPI Details

David Alan Bloom, MD is an urology in Ann Arbor, MI. The provider is 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. David Alan Bloom, MD NPI is 1609967132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 E MEDICAL CENTER DR
4TH FLOOR CLINIC B ROOM 4807
ANN ARBOR, MI
ZIP 48109-217
Phone: (734) 936-7030

The NPI 1609967132 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 9/28/2006 and was last updated on 4/24/2012.

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
1208600000XSurgery4301047893MICHIGANNo
22088P0231XUrologyPediatric Urology4301047893MICHIGANNo
3208800000XUrology4301047893MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11594500MEDICAIDMICHIGAN
20H16030010MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
3B49555MEDICARE UPINMICHIGAN

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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