Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194947010 Individual Practitioner Male Practitioner

Dr. Gary Allan Bloom , MD

General Practice • Colorado Springs, CO

Professional Overview & Biography Verified Profile Summary

Dr. Gary Bloom, MD is a registered healthcare professional specializing in General Practice in Colorado Springs, CO. Practice services are available at 4190 E WOODMEN RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4190 E Woodmen Rd Ste 200

Colorado Springs, CO 809208075

Telephone 7192656464
Fax 7192656750
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Colorado Springs, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.8 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Colorado Springs, CO (331 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 17828

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Teresa Constantino , FNP

Nurse Practitioner - Family

NPI 1285520734

Family Nurse Practitioner

NPI 1790899185

Doctor of Medicine (M.D.)

Melody Ronk , PA-C

Physician Assistant

NPI 1851513725

Physician Assistant (Certified)

Meg Nakajima , FNP-BC

Nurse Practitioner - Family

NPI 1902212715

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2009

Registered at 4190 E WOODMEN RD STE 200, COLORADO SPRINGS, CO 809208075 (Tel: 7192656464)

📍
Updated Business Mailing Address May 19, 2009

Registered at 230 SHADY OAK GROVE, COLORADOO SPRINGS, CO 80916 (Tel: 7193214607)

👤
Provider Name / Credentials Updated May 19, 2009

Recorded as GARY BLOOM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2009

General Practice (License #17828 in CO)

🟢
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194947010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: May 19, 2009
Sole Proprietor: No

Mailing Address

230 Shady Oak Grove

Coloradoo Springs, CO 80916

Phone: 7193214607

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.