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BLOOM WELLNESS DIRECT PRIMARY CARE, PLLC
NPI 1447003108
Family Medicine in Waterford, MI

Active since April 10, 2024CLIA 23D2304470 · Waiver
7112 HIGHLAND RD, WATERFORD, MI 48327(248) 509-0055(626) 517-5630 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Apr 10, 2024 (2 updates tracked since 2024).

About Bloom Wellness Direct Primary Care, Pllc NPPES

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

BLOOM WELLNESS DIRECT PRIMARY CARE, PLLC (NPI 1447003108), doing business as Blerta Gaqi, is a healthcare organization registered as a family medicine in Waterford, Michigan and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Blerta Lici Gaqi, Family Medicine, as its authorized official.

NPPES Registry Identity

NPI1447003108
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLOOM WELLNESS DIRECT PRIMARY CARE, PLLC
Location Address7112 HIGHLAND RDWaterford, MI 48327-1503
Mailing Address7112 Highland RdWaterford, MI 48327-1503 · (248) 509-0055 · Fax (626) 517-5630
Phone(248) 509-0055
Fax(626) 517-5630
Organization SubpartNo
Authorized OfficialBlerta Lici GaqiFamily Medicine · (248) 509-0055
Enumeration DateApril 10, 2024
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1447003108 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.
7112 HIGHLAND RD, Waterford, MI 48327
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Other Names 1

Doing Business AsBlerta Gaqi

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 23D2304470

Bloom Wellness Direct Primary Care, PLLC · Waterford, MI
Active · expires May 13, 2028
CLIA Number23D2304470
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorBlerta L. Gaqi
Laboratory Phone(248) 509-0055
Laboratory LocationBloom Wellness Direct Primary Care, PLLC7112 Highland Road, Waterford, MI 48327
CLIA data matches this NPI record on: Address 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.

DR. BLERTA LICI GAQI DO
Family Medicine
7112 HIGHLAND RD
WATERFORD, MI 48327
Oakland County (248) 509-0055

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 Wellness Direct Primary Care, PLLC's NPI number?

The NPI number for Bloom Wellness Direct Primary Care, PLLC is 1447003108. It was assigned to this organization in the NPPES registry on April 10, 2024. The provider is doing business as Blerta Gaqi.

Where is Bloom Wellness Direct Primary Care, PLLC located?

Bloom Wellness Direct Primary Care, PLLC is located at 7112 Highland Rd, Waterford, MI 48327. The listed phone number is (248) 509-0055.

What is Bloom Wellness Direct Primary Care, PLLC's specialty?

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

Does Bloom Wellness Direct Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2304470) is associated with this NPI, valid through May 13, 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 Wellness Direct Primary Care, PLLC was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.