Keith D. Bloom, MD

Urology Physician · Irving, TX

Individual Active NPI

NPI number 1831177948

Practice location

7701 Las Colinas RDG Ste 460
Irving, TX 75063-8081
Phone
(866) 367-8768
Fax
(817) 541-9301

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NPI record

NPI
1831177948
Entity type
Individual (Type 1)
Enumeration date
January 9, 2006
Last updated
December 17, 2024
Certified
December 17, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X P1967 TX

Mailing address

5001 S Cooper St Ste 201
Arlington, TX 76017-5993
Phone
(866) 367-8768
Fax
(817) 541-9555

About Dr. Bloom

Keith D. Bloom, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 7701 Las Colinas RDG Ste 460, Irving, TX 75063-8081. The NPI number 1831177948 was assigned on January 9, 2006 and the record was last updated on December 17, 2024.

Dr. Bloom lists a license in the registry: #P1967 (TX) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith D. Bloom, MD?

The NPI number is 1831177948.

What is the phone number of Dr. Bloom?

The phone number listed for the practice location is (866) 367-8768.

Where is Dr. Bloom located?

7701 Las Colinas RDG Ste 460, Irving, TX 75063-8081.

What is the taxonomy code for Dr. Bloom?

The primary taxonomy code is 208800000X – Urology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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