Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bloom Pediatrics of Southern Iowa PLLC

Organization Family Medicine Physician · NPI 1225974892

Bloom Pediatrics of Southern Iowa PLLC provides Family Medicine Physician services in Ottumwa, Iowa. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

925 Church St
Ottumwa, IA 52501-4223
Phone: (641) 814-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1225974892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacy Kennedy — Arnp · (641) 226-8866
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address925 Church St, Ottumwa, IA 52501-4223

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