NPI 1073129458 · live from the CMS NPI Registry
Bloom Gynecology LLC
Obstetrics & Gynecology, Gynecology in Midlothian, TX. National Provider Identifier 1073129458, active.
NPI record
| NPI | 1073129458 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 800 Highlander Ave Ste 300, Midlothian, TX 76065 |
| Practice phone | 682-900-1040 |
| Enumerated | September 21, 2020 |
| Last updated | July 17, 2026 |
| Authorized official | Sara Northrop, Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | — |
| Clinic/Center, Primary Care | 261QP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.