Blossom Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BLOSSOM PEDIATRICS, PLLC

Practice address

10680 Jones Rd Ste 2000
Houston, TX 77065-5702

Phone

(281) 509-9999

NPI assigned

Feb 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Huan Tho Bui, PA-CNPI 1932393774

Title

Partner/Owner

Phone

(281) 509-9999

Specialties & licenses 1

Addresses

Other names 1

• Bloom Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Huan T. Bui, PA-C

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1932393774

  TX

  Medicare reassignment Authorized official
• Oanh Ngoc Bui, D.O.

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1780790204

  TX

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1124883756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 JONES RD STE 2000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655702",
            "telephone_number": "281-509-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 JONES RD STE 2000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655702",
            "telephone_number": "281-509-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "HUAN",
        "authorized_official_middle_name": "THO",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "281-509-9999",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corey Lyndell Blount
• Corey Lyndell Blount Jr.
• Farris Blount Jr., M.D.
• Natika Blount

• All providers in Houston, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.