SECOND BLOOM WOMENS HEALTH PLLC – NPI #1619817244
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

SECOND BLOOM WOMENS HEALTH PLLC is a provider located in MINNEAPOLIS, MN. NPPES recently assigned the NPI number 1619817244 to SECOND BLOOM WOMENS HEALTH PLLC on March 31, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was last updated on Apr 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SECOND BLOOM WOMENS HEALTH PLLC below.

NPI Profile for
SECOND BLOOM WOMENS HEALTH PLLC

NPI Number
1619817244
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SECOND BLOOM WOMENS HEALTH PLLC
Primary location
1200 W BROADWAY AVE
MINNEAPOLIS, MN 55411-2572
Phone: (612) 382-8862 Fax: (612) 500-4946
Mailing address
6257 BEN MORE DR NE
FRIDLEY, MN 55432-5207
Phone: Fax: (612) 500-4946
Organization Subpart
No
Authorized Official
NATYA STROUD
NURSE PRACTITIONER
Phone: (612) 382-8862
Updated
Certification Date
Apr 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.