Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bloom Primary Tx II, PA

Internal Medicine Physician in Southlake, TX · enumerated 2026 · authorized official Debra Moon Wadelton, Authorized Official.

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

National Provider Identifier

1689598377

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Registry record

Entity type Organization (Type 2)

Legal business name Bloom Primary Tx II, PA

Practice address 545 S Nolen Dr Ste 300, Southlake, TX, 76092

Phone (303) 993-1330

Enumeration date Aug 6, 2026

Last updated in NPPES Aug 6, 2026

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Debra Moon Wadelton

Title Authorized Official

Phone (720) 923-1250

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-08-06. Verify at npiregistry.cms.hhs.gov.

Where is Bloom Primary Tx II, PA located?

The practice location on file with NPPES is in Southlake, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-06.