| C A Bloom Md Pllc | |
|
1151 N Buckner Blvd Suite 407 Dallas TX 75218-3426 | |
| (214) 206-1445 | |
| (972) 908-2844 |
| Full Name | C A Bloom Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1151 N Buckner Blvd, Dallas, Texas |
| Authorized Official Name and Position | Christopher A Bloom (PHYSICIAN OWNER) |
| Authorized Official Contact | 2142061445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C A Bloom Md Pllc Po Box 251166 Plano TX 75025-1166 Ph: (214) 206-1445 | C A Bloom Md Pllc 1151 N Buckner Blvd Suite 407 Dallas TX 75218-3426 Ph: (214) 206-1445 |
| NPI Number | 1346395233 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 3375649114 |
|---|---|
| Medicare Enrollment ID | O20070510000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346395233 | NPI | - | NPPES |
| 0011PG | Other | TX | BLUE SHIELD |
| 186021502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M5060 (Texas) | Primary |
| Provider Name | Christopher A Bloom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518967686 PECOS PAC ID: 8527081462 Enrollment ID: I20060106000335 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Mi Familia Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Abounding Prosperity Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 214-421-4800 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Emmanuel Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2665 Villa Creek Dr # 180, Dallas, TX 75234 Phone: 469-567-9974 |