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

Dr. William Robert Bloom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114637881

Dr. William Robert Bloom, MD is a Student in an Organized Health Care Education/Training Program in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

395 W 12th Ave Fl 3
Columbus, OH 43210-1267
Phone: (614) 293-3989
Fax: (614) 293-9789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 57.254657 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114637881
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2022
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address395 W 12th Ave Fl 3, Columbus, OH 43210-1267

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