Individual
BYRON J BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
112 AIRPORT BUSINESS PARK DR, SHELBYVILLE, TN 37160-7452
(931) 680-6360
(931) 680-9909
Mailing address
2503 BURGESS ST, MURFREESBORO, TN 37128-7641
(615) 519-3775
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
922
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801074042
NPI
TN
01
—
922
PA LICENSE NUMBER
TN
Enumeration date
02/08/2008
Last updated
04/02/2026
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