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

Johannes Victor Blom, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1184654519

Johannes Victor Blom, MD is an Orthopedic Surgery in Hollywood, Florida. Graduated from Boston University School of Medicine in 1991, 35 years ago. Practices with Rehabclinics PTA Inc, a 219-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
35
Trained at
Boston University School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3702 Washington St Ste 202
Hollywood, FL 33021-8282
Phone: (954) 964-6114
Fax: (954) 962-1994
Show map & directions

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

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence ME94285 (FL)

Record details

NPI number1184654519
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESMay 23, 2012

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Rehabclinics Pta Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare