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

Robert F. Bloom, MD, PA

Organization Dermatology Physician · NPI 1164621215

Robert F. Bloom, MD, PA is a Dermatology Physician in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3413 20th St
Lubbock, TX 79410-1205
Phone: (806) 797-6631
Fax: (806) 797-6748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence F0391 (TX)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence F0391 (TX)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence F0391 (TX)

Record details

NPI number1164621215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Bloom — Dermatologist · (806) 797-6631
NPI enumeratedJuly 17, 2007
Last updated in NPPESSeptember 4, 2007
Mailing address3413 20th St, Lubbock, TX 79410-1205

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