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DR. ROBERT CHANDLER BLEDSOE M.D. NPI 1396817409


NPI Information

NPI: 1396817409
Provider Name: DR. ROBERT CHANDLER BLEDSOE, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
1600 W COLLEGE ST STE 380
GRAPEVINE, TX
ZIP 76051
Phone: (817) 481-0868
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DR. Robert Chandler Bledsoe, M.D. is a facial plastic surgery otolaryngology in Grapevine, TX. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Robert Chandler Bledsoe, M.D. NPI is 1396817409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 W COLLEGE ST STE 380
GRAPEVINE, TX
ZIP 76051-583
Phone: (817) 481-0868
Fax: (817) 481-1378

The NPI 1396817409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 5/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG4836TEXASNo
2207YS0123XOtolaryngologyFacial Plastic SurgeryG4836TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189911ZOTHERTEXASBCBS PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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