National Provider Identifier Database

BLOOM REPRODUCTIVE INSTITUTE PLLC
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


Contact Information

BLOOM REPRODUCTIVE INSTITUTE, PLLC
8415 N PIMA RD
STE 290
SCOTTSDALE, AZ85258-4480
Phone: 480-434-6565
Fax: 480-383-6426
Website:
Specialty Taxonomy Code
* Reproductive Endocrinology 207VE0102X

* Indicates primary specialty

NPI Profile & details for BLOOM REPRODUCTIVE INSTITUTE, PLLC

NPI Number 1588060875
Legal business name
LBN
BLOOM REPRODUCTIVE INSTITUTE, PLLC
Authorized official MILLIE BEHERA - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 11/13/2014
Last updated 11/13/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 42873

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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