IndividualActive
Byron Bloom, PA-C
NPI 1801074042 · Medical Physician Assistant · Shelbyville, TN
Provider details
- NPI number
- 1801074042
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 922 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
112 Airport Business Park Dr
Shelbyville, TN 37160-7452
Phone: (931) 680-6360
Fax: (931) 680-9909
Approximate (ZIP-level) locationGet directions
Mailing address
2503 Burgess St
Murfreesboro, TN 37128-7641
Additional practice locations (1)
- 883 Union StShelbyville, TN 37160-2607Phone: (931) 685-1145Fax: (931) 685-8014
Registry dates
- Enumerated
- 2008-02-08
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.