NPIMap

Organization Active NPI

Firstline Healthcare PLLC

  • Emergency Medicine Physician
  • Champaign, IL
National Provider Identifier
1871466086
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FIRSTLINE HEALTHCARE PLLC
Practice address
2043 S Neil St
Champaign, IL 61820-7219
Phone
(217) 693-6220
NPI assigned
Sep 24, 2025
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRSTLINE HEALTHCARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Kurt Bloomstrand, MDNPI 1710326350
Title
Owner
Phone
(217) 693-6220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

2043 S Neil St
Champaign, IL 61820-7219

Mailing address

2043 S Neil St
Champaign, IL 61820-7219

Other names 3

  • FirstLine Healthcare, PLLC - FirstLine Urgent Care, PLLC (series) Other name
  • FirstLine Urgent Care Other name
  • FirstLine Urgent Care, PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251125004264 IL Part B Supplier - Clinic/Group Practice 0042702144 Receives reassigned benefits from 6 practitioners
Practice locations: Champaign, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2332168Firstline Urgent Care, PLLC2043 S Neil St, Champaign, IL 61820Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Firstline Healthcare PLLC2 organizations share this tax ID, including this one
Part of
Firstline Healthcare PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1871466086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207219",
            "telephone_number": "217-693-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTLINE HEALTHCARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTLINE HEALTHCARE PLLC",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "BLOOMSTRAND",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-693-6220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLine Healthcare, PLLC - FirstLine Urgent Care, PLLC (series)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FirstLine Urgent Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FirstLine Urgent Care, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.