DR. ROBERT CHANDLER BLEDSOE (NPI# 1396817409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396817409 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CHANDLER BLEDSOE |
| Credential | M.D. |
| Practice Address |
1600 W College St Ste 380 Grapevine TX 76051-3583 |
| Practice Telephone | 8174810868 |
| Practice Fax Number | 8174811378 |
| Mailing Telephone | 8174810868 |
| Mailing Fax Number | 8174811378 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G4836 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER ID | 89911Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245219831 | Robert E Bledsoe Jr. | Specialist | 817 Cook Dr, Athens, TN 37303-3485 | 2006-01-11 |
| 1063730356 | Robert Dee Bledsoe | Registered Nurse | 1 Freedom Way, Augusta, GA 30904-6258 | 2010-05-11 |
| Street Address |
1600 W COLLEGE ST STE 380 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306111828 | Patricia A Covey | Specialist | 2717 Lone Star Ln, Grapevine, TX 76051-2517 | 2012-03-16 |
| 1639351505 | Practical Pediatrics | Specialist | 811 Ira E Woods Ave., Grapevine, TX 76051-4012 | 2007-12-03 |
| 1861560617 | Teresa Loree Anderson | Specialist | 1280 S Main St, Grapevine, TX 76051-7524 | 2006-12-01 |
| 1639286339 | Fred Elias Ghali | Specialist | 1325 W. Northwest Hwy, Grapevine, TX 76051-7524 | 2006-08-25 |
| 1962518191 | Michael Wayne Mccoy | Specialist | 811 Ira E Woods Ave, Grapevine, TX 76051-4012 | 2006-08-21 |
| 1609869692 | Barbara Ann Smythe | Specialist | 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051-3579 | 2005-08-25 |
| 1154824209 | Southlake Foot & Wellness Center LLC | Specialist | 901 W Wall St Ste 103, Grapevine, TX 76051-7419 | 2018-03-15 |
| 1730507195 | Daniel Beck, Md Pa | Specialist | 1601 Lancaster Dr, Suite 100, Grapevine, TX 76051-2109 | 2014-04-02 |
| 1780971549 | Urology Clinics of North Texas, Pllc | Specialist | 1600 W College St, Suite 140, Grapevine, TX 76051-3580 | 2011-06-30 |
| 1124277488 | Dfw Plastic Surgery | Specialist | 1600 W College St, Ste. 380, Grapevine, TX 76051-3580 | 2008-09-11 |
| Find all providers in GRAPEVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.