Bloom and Grow Pediatrics LLC
NPI 1760956031ActiveOrganization· Clinic/Center, Primary Care· Cloudcroft, NM
Clinic/Center, Primary Care in Cloudcroft, New Mexico, registered in NPPES in January 2019. The authorized official on file is Susan Bruce, CPNP, Owner.
Overview
| NPI | 1760956031 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2019 |
| Last updated in NPPES | Jul 1, 2022 |
| Certified by provider | Jul 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Primary Care Primary | 261QP2300X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|