Physician Assistant
SHARI BLOOM PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1053564179 · enumerated 2008-11-03 · record updated 2012-09-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1665 BONANZA DR, PARK CITY, UT, 84060-5127 (435) 649-7640 Fax (435) 649-1365 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 27128, SALK LAKE CITY, UT, 84127-0128 (801) 491-6482 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary
- Nurse Practitioner, Family 363LF0000X · License MT0903117 UT
In this directory
Locations and evidence
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Practice location
PARK CITY, UT, 840605127
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.