RICHARD R BLOOM (DC) – Chiropractor, NPI 1548298250

RICHARD R BLOOM (DC) is a healthcare provider. based in Jacksonville, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH8853 (FL). The NPI Number for RICHARD R BLOOM (DC) is 1548298250

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD R BLOOM (DC)
NPI
1548298250
Phone
(904) 223-3330
Address
13947 BEACH BLVD STE 202
Enumeration Date
29 June 2006
Last Update Date
5 September 2007

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
9046423304
Graduation Year
1999 (27 years ago)
PAC ID
8426095217
Group Practice PAC ID
1153693577
Professional Enrollment ID
I20081211000194
Address ID
FL322466699JA11761BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for RICHARD R BLOOM (DC)

  • 13947 BEACH BLVD STE 202

    JACKSONVILLE, FL 322241200

    Phone: (904) 223-3330

    Fax: (904) 223-4560

    Type: Location

  • 2325, Oceanforest Drive West, Oceanwalk, Atlantic Beach, Duval County, Florida, 32233, United States

    13947 BEACH BLVD # 202

    ATLANTIC BEACH, FL 322336612

    Phone: (904) 223-3000

    Fax: (904) 223-4560

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081211000194IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153693577View full group profile

Reviews

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Frequently asked questions

What is the standard ID for RICHARD R BLOOM (DC) in the U.S.?
In the U.S., RICHARD R BLOOM (DC) is identified by NPI 1548298250.
Does the public listing show RICHARD R BLOOM (DC) as active?
RICHARD R BLOOM (DC)'s NPI record reflects an active status in NPPES.
What type of care does RICHARD R BLOOM (DC) provide?
RICHARD R BLOOM (DC)'s profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to RICHARD R BLOOM (DC)?
RICHARD R BLOOM (DC) shows a connection to Jacksonville, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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