ROGER E. BLOOMER MD – NPI #1235196486
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

ROGER BLOOMER is a physician located in JACKSON, MI. NPPES has assigned the NPI number 1235196486 to ROGER BLOOMER on April 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Sep 29, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROGER BLOOMER below.

NPI Profile for
ROGER E. BLOOMER

NPI Number
1235196486
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROGER E. BLOOMER
Credentials
MD
Primary location
2200 SPRINGPORT RD STE 500
JACKSON, MI 49202
Phone: (517) 205-3273 Fax: (517) 205-1698
1 Other location(s):
153 Wamplers Lake Rd
Brooklyn, MI 49230-9585
Phone: (517) 592-1963
Fax: (517) 592-1967
Mailing address
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone: (313) 874-4806 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROGER BLOOMER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMI104578484
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MI 4301075147
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine		 MI 4301075147

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE - Graduated 1997
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROGER BLOOMER is affiliated with the following medical group(s):
  • HOSPITAL
    • HENRY FORD ALLEGIANCE HEALTH
      205 N EAST AVE
      JACKSON, MI 49201
  • HOME HEALTH AGENCY
    • HENRY FORD ALLEGIANCE HOME CARE
      100 E MICHIGAN AVE, STE 400
      JACKSON, MI 49201

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.