National Provider Identifier Database

KARLA G MYHRA BLOOM, MD – NPI #1700831690
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

KARLA G MYHRA BLOOM, MD
709 17TH ST N
SARTELL, MN  56377
Phone: 320-259-0120
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for KARLA G MYHRA BLOOM

NPI Number 1700831690
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 08/14/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 35072
  • MN Medicaid: 706860300
  • WI Medicaid: 32423300
  • MN Other: 1421754 AMERICA'S PPO
  • MN Other: 56G37BL BLUE CROSS
  • MN Other: 96D61MY BLUE CROSS
  • MN Other: 9238143 DAKOTA CARE
  • MN Other: HP33809 HEALTHPARTNERS
  • MN Other: 1600536 MEDICA
  • MN Other: 253804 MIDLANDS CHOICE INC
  • MN Other: 1016709 PREFERRED ONE
  • MN Other: 300124849 RAILROAD MEDICARE MN
  • MN Other: 127385 UCARE
  • WI Other: 300099552 RAILROAD MEDICARE WI
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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