Blueberry Healthcare PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUEBERRY HEALTHCARE PC

Practice address

G4007 W Court St Ste B
Flint, MI 48532-3560

Phone

(810) 339-6949

NPI assigned

Oct 6, 2023

Organization subpart

No

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

Authorized official

Name

Jen Dupuis

Title

Credentialer

Phone

(810) 339-6949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 5

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

• Alpesh K Korant, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1619281300
  Medicare reassignment Care Compare group NPD
• Narjis Batool, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1164151254
  Medicare reassignment Care Compare group
• Shafi J Ahmed, M.D.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1326121823
  Medicare reassignment NPD
• Francesca Amber Vitale, RN

  • Family Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1659963239
  Medicare reassignment NPD
• Eugene N Chardoul, M.D.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1154360378
  Medicare reassignment

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702080000000",
    "number": "1932980992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G4007 W COURT ST STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323560",
            "telephone_number": "810-339-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G4007 W COURT ST STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323560",
            "telephone_number": "810-339-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBERRY HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "DUPUIS",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "810-339-6949"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Blom
• Bloom Family Counseling LLC
• Jane Blossey, LPC
• Jakobe Blount
• Jasmine Blount
• Amy Nicole Blumenthal
• Sean C Blythe
• Juanita D Boado, MD
• Board of Education for City of Flint
• Bobbi J. Ramp, MD

• Family Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.