Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Julie C Blossom-Hartley, MD

Individual provider Family Medicine Physician · NPI 1689194631

Julie C Blossom-Hartley, MD is a Family Practice in Grand Rapids, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2017, 9 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Rhode Island.

Years since qualifying
9
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI, RI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 Lafayette Ave SE Ste 4000
Grand Rapids, MI 49503-4692
Phone: (616) 685-6922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Brewster St, Pawtucket, RI 02860 — (401) 729-2304

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301509984 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence LP04116 (RI)

Record details

NPI number1689194631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 21, 2017
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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