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

Zachary Blom, MD

Individual provider Family Medicine Physician · NPI 1376040238

Zachary Blom, MD is a Family Practice in Raleigh, North Carolina. Qualified in 2018, 8 years ago. Practices with UNC Physicians Network LLC, a 986-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
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

11200 Governor Manly Way Ste 205
Raleigh, NC 27614-7367
Phone: (919) 570-7700
Fax: (919) 570-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-5348

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2021-01267 (NC)

Record details

NPI number1376040238
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Unc Physicians Network Llc — 986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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