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

Andrew Allyn Bloom, PA-C

Individual provider Physician Assistant · NPI 1891309555

Andrew Allyn Bloom, PA-C is a Physician Assistant in Spokane, Washington. Qualified in 2020, 6 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

820 S McClellan St Ste 300
Spokane, WA 99204-2450
Phone: (509) 838-7100
Fax: (509) 227-7070
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5889 Bow St, Bow, WA 98232-8620 — (425) 223-8155

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61102743 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1891309555
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spokane