NPIMap

Organization Active NPI

Bloom Hormone Health

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1922812890
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLOOM HORMONE HEALTH
Practice address
10339 Dawsons Creek Blvd
Fort Wayne, IN 46825-1907
Phone
(260) 999-7147
NPI assigned
Feb 3, 2025
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Mrs. Leigh Bauer, DONPI 1427366814
Title
Owner
Phone
(260) 999-7147

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10339 Dawsons Creek Blvd
Fort Wayne, IN 46825-1907

Mailing address

10339 Dawsons Creek Blvd
Fort Wayne, IN 46825-1907
Phone (260) 999-7147

National Provider Directory

National Provider Directory

Locations

10339 Dawsons Creek Blvd
Fort Wayne, IN 46825
Phone (260) 999-7147

Practitioners & affiliated clinicians

Practitioners 2

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": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1922812890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10339 DAWSONS CREEK BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251907",
            "telephone_number": "260-999-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 DAWSONS CREEK BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251907",
            "telephone_number": "260-999-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HORMONE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-999-7147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.