Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Pediatrics of Southern Iowa PLLC

Organization Family Medicine Physician · NPI 1225974892

Bloom Pediatrics of Southern Iowa PLLC is a Family Medicine Physician in Ottumwa, Iowa. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

925 Church St
Ottumwa, IA 52501-4223
Phone: (641) 814-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1225974892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacy Kennedy — Arnp · (641) 226-8866
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address925 Church St, Ottumwa, IA 52501-4223

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