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BLOOM FAMILY MEDICINE, PLLC
NPI 1396485710
Family Medicine in Melbourne, FL

Active since April 01, 2022CLIA 10D2258774 · Waiver
7341 OFFICE PARK PL STE 202B, MELBOURNE, FL 32940(302) 344-1270 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bloom Family Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM FAMILY MEDICINE, PLLC (NPI 1396485710) is a healthcare organization registered as a family medicine in Melbourne, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Christina Habib Bovelsky, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1396485710
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLOOM FAMILY MEDICINE, PLLC
Location Address7341 OFFICE PARK PL STE 202BMelbourne, FL 32940-8280
Mailing Address3288 Cappio DrMelbourne, FL 32940-1310 · (302) 650-7961
Phone(302) 344-1270
Organization SubpartNo
Authorized OfficialChristina Habib BovelskyOwner/physician · (302) 650-7961
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1396485710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7341 OFFICE PARK PL STE 202B, Melbourne, FL 32940
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2258774

Bloom Family Medicine PLLC · Melbourne, FL
Active · expires Apr 26, 2028
CLIA Number10D2258774
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorChristina H. Bovelsky
Laboratory Phone(302) 650-7961
Laboratory LocationBloom Family Medicine PLLC7341 Office Park Place Suite 202B, Melbourne, FL 32940
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTINA H BOVELSKY M.D.
Family Medicine
7341 OFFICE PARK PL STE 202B
MELBOURNE, FL 32940
Brevard County (321) 344-1270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Family Medicine, PLLC's NPI number?

The NPI number for Bloom Family Medicine, PLLC is 1396485710. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Bloom Family Medicine, PLLC located?

Bloom Family Medicine, PLLC is located at 7341 Office Park Pl Ste 202B, Melbourne, FL 32940. The listed phone number is (302) 344-1270.

What is Bloom Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bloom Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2258774) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bloom Family Medicine, PLLC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.