Bloom Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLOOM FAMILY MEDICINE, PLLC

Practice address

7341 Office Park PL Ste 202B
Melbourne, FL 32940-8280

Phone

(302) 344-1270

NPI assigned

Apr 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Christina Habib Bovelsky, MDNPI 1356476626

Title

Owner/Physician

Phone

(302) 650-7961

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Christina H Bovelsky, M.D.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1356476626
  NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1396485710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 CAPPIO DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401310",
            "telephone_number": "302-650-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 OFFICE PARK PL STE 202B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408280",
            "telephone_number": "302-344-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "BOVELSKY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "HABIB",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "302-650-7961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clyde Blaylock, FNP-BC
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• Nancy Blizzard
• Jessica B Block
• Regan Blomquist
• Rosemarie Walsh Bloom, MASSAGE THERAPIST
• Blossom Medspa & Wellness Clinic, LLC
• Blue Wave Counseling
• Cora Marie Blum
• Ashley Blye

• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.