Bloom Bridge Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLOOM BRIDGE HEALTH

Practice address

21509 Garrison St
Dearborn, MI 48124-2301

Phone

(313) 825-9388

NPI assigned

Mar 16, 2026

Last updated

Mar 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alaa Hazime

Title

Director

Phone

(313) 825-9388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1245187335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21509 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242301",
            "telephone_number": "313-825-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21509 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242301",
            "telephone_number": "313-825-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BRIDGE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "HAZIME",
        "authorized_official_first_name": "ALAA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-825-9388"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lynn Blanding, CNA
• Nimrod Blank, M.D.
• Joyce M Blazejewski, M.D.
• Daniel Blazo, D.D.S
• James C Blevins, BCBA, LBA
• Bloom Healthcare Management
• Bloom Hospice LLC
• Bloom Professional Services LLC
• Dennis Lynn Bloom, DC
• Blossom Care Pharmacy LLC (Blossom Care Pharmacy)

• Primary Care Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.