Desert Bloom Plastic Surgery LLC
NPI 1235691510 · Medical Specialty Clinic/Center · St George, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Desert Bloom Plastic Surgery LLC is a Medical Specialty Clinic/Center organization in St George, UT (NPI 1235691510).
Provider details
- NPI number
- 1235691510
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Wallin, President(435) 627-8150
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-04
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Frequently asked questions
- What is Desert Bloom Plastic Surgery LLC's NPI number?
- Desert Bloom Plastic Surgery LLC's National Provider Identifier (NPI) is 1235691510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desert Bloom Plastic Surgery LLC?
- Desert Bloom Plastic Surgery LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Desert Bloom Plastic Surgery LLC located?
- Desert Bloom Plastic Surgery LLC's practice location on file with NPPES is 446 S Mall Dr Ste 1, St George, UT 84790-4944.
- What is Desert Bloom Plastic Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Desert Bloom Plastic Surgery LLC is (435) 627-8150.
- Does Desert Bloom Plastic Surgery LLC accept Medicare?
- Desert Bloom Plastic Surgery LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Desert Bloom Plastic Surgery LLC?
- The authorized official listed on Desert Bloom Plastic Surgery LLC's NPPES record is Jordan Wallin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desert Bloom Plastic Surgery LLC's NPI active?
- Yes — Desert Bloom Plastic Surgery LLC's NPI (1235691510) is active in the NPPES registry as of the last update on 2025-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.