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Dr. Kenneth Evan Bloom, DPM

Foot & Ankle Surgery Podiatrist in Mooresville, NC · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811983372

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Registry record

Entity type Individual (Type 1)
Name Dr. Kenneth Evan Bloom
Credential DPM
Sex Male
Practice address 137 Professional Park Dr, Suite C, Mooresville, NC, 28117
Phone (704) 662-8336
Fax (704) 662-8525
Enumeration date Sep 21, 2005
Last updated in NPPES Aug 7, 2023

Taxonomy & licenses

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 414 (NC) Primary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 414 (NC) Secondary
DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier Type State Issuer
790800H Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kenneth Bloom?
The National Provider Identifier (NPI) for Kenneth Bloom is 1811983372, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kenneth Bloom practice?
The practice location on file with NPPES is in Mooresville, NC. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-07.