Bloom Primary Mo, LLC
Bloom Primary Mo, LLC provides Family Medicine Physician services in Saint Louis, Missouri. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
540 Maryville Centre Dr Ste 340Saint Louis, MO 63141-5831
Phone: (720) 923-1250
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1093667750 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Moon-Wadelton — Revenue Cycle Manager · (720) 923-1250 |
| NPI enumerated | February 13, 2026 |
| Last updated in NPPES | February 13, 2026 |
| Certification date | February 13, 2026 |
| Mailing address | 12600 W Colfax Ave Ste B200, Lakewood, CO 80215-3736 |
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