Blei Group LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BLEI GROUP LLC

Practice address

825 Florida Ave
Lynn Haven, FL 32444-2335

Phone

(850) 265-3686

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By 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

Mrs. Destinee Bertia Blei, AGNPNPI 1346734324

Title

Owner

Phone

(850) 774-9535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Primary Care Center of Lynn Haven

  • Internal Medicine Physician
  • Lynn Haven, FL
  • NPI 1700803624

  O20240508004158

  Same enrollment

Practitioners 1

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.

• Destinee Bertia Blei, AGNP-C

  • Adult Health Nurse Practitioner
  • Panama City, FL
  • NPI 1346734324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1881469559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 EDITH STEPHENS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324041933",
            "telephone_number": "850-774-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FLORIDA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442335",
            "telephone_number": "850-265-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEI GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BLEI",
        "authorized_official_first_name": "DESTINEE",
        "authorized_official_middle_name": "BERTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-774-9535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AGNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Marie Berry, PSY.D.
• Kristina Noble Berry, L.M.H.C
• Betty Jean Sadler
• Jahnvi Bhasker
• Denali Bishop
• Robert A Bloom, MD
• Ryan K Bohn, DPT
• Joshua Boland
• Terry Duston Bonner
• Jamie Patricia Boyd, RN

• Medical Specialty Clinic/Center in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.