Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194394502 Individual Practitioner Male Practitioner

Samuel Bloomsburg

Surgery • Morris, MN

Professional Overview & Biography Verified Profile Summary

Samuel Bloomsburg is a registered healthcare professional specializing in Surgery in Morris, MN. Practice services are available at 400 E 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 E 1st St

Morris, MN 562671408

Telephone 3205891313
Fax 3205891065
Associated Practice Facility / Clinic
🏢 Sanford Medical Center Fargo Facility NPI 1013077007

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Morris, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Morris, MN (770 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2026-07-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ND RL17467

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. John Anderson , DO

Family Medicine

NPI 1003303439

Doctor of Osteopathic Medicine (D.O.)

Stephanie Knobloch , CFNP

Nurse Practitioner - Family

NPI 1043310386
NPI 1043312481

Master of Science

Cara Nachbor , C-FNP

Nurse Practitioner

NPI 1073682597

CFNP

NPI 1093248536

Doctor of Medicine (M.D.)

Tierza Thormodson

Nurse Practitioner - Family

NPI 1093605347

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 30, 2026

Registered at 400 E 1ST ST, MORRIS, MN 562671408 (Tel: 3205891313)

📍
Updated Business Mailing Address July 30, 2026

Registered at 400 E 1ST ST, MORRIS, MN 562671408 (Tel: 3205891313)

NPI Profile Active June 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2021

Registered at UND SMHS DEPARTMENT OF SURGERY, 1301 N COLUMBIA RD, STOP 9037, GRAND FORKS, ND 582029037 (Tel: 7012934151)

📍
Updated Business Mailing Address June 21, 2021

Registered at UND SMHS DEPARTMENT OF SURGERY, 1301 N COLUMBIA RD, STOP 9037, GRAND FORKS, ND 582029037 (Tel: 7012934151)

👤
Provider Name / Credentials Updated June 21, 2021

Recorded as SAMUEL BLOOMSBURG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Surgery (License #RL17467 in ND)

🟢
Initial NPI Registration & Enumeration June 21, 2021

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: 1194394502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: July 30, 2026
Sole Proprietor: Yes

Mailing Address

400 E 1st St

Morris, MN 562671408

Phone: 3205891313

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.