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

Dr. Kenneth Evan Bloom, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1811983372

Dr. Kenneth Evan Bloom, DPM is a Podiatry in Mooresville, North Carolina. Qualified in 1995, 31 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
31
Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

137 Professional Park Dr Ste C
Mooresville, NC 28117-6540
Phone: (704) 662-8336
Fax: (704) 662-8525
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 414 (NC)
Podiatrist Taxonomy 213E00000X · Licence 414 (NC)

Record details

NPI number1811983372
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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