Bledsoe Family Medicine LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

8883 Issued in SC

Legal business name

BLEDSOE FAMILY MEDICINE LLC

Practice address

669 Barr Rd Ste C
Lexington, SC 29072-2369

Phone

(803) 957-8000

Fax

(803) 957-7004

NPI assigned

Jan 21, 2010

Last updated

Oct 15, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Horace William Bledsoe Jr., M.D.NPI 1972560142

Title

Owner

Phone

(803) 359-0164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Horace William Bledsoe, MD

  • Adult Medicine Physician
  • Lexington, SC
  • NPI 1972560142
  Medicare reassignment NPD Authorized official
• Bert B Oubre, M.D.

  • Family Medicine Physician
  • Lexington, SC
  • NPI 1528201480
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1356672927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E MAIN ST",
            "address_2": "SUITE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723729",
            "telephone_number": "803-359-0164",
            "fax_number": "803-359-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BARR RD STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722369",
            "telephone_number": "803-957-8000",
            "fax_number": "803-957-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEDSOE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-359-0164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "8883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas T Blake Jr., DC
• Anne Griffin Blakely
• Theresa Blakesley, PHD
• Madison Blanch
• Tanya Blatchford, MPT
• Horace William Bledsoe, MD
• Donald Lewis Bloodworth III, APRN
• Bloom Pediatric Therapy, LLC
• Bloom Therapy and Wellness, LLC
• Ashley May Bloomberg

• Adult Medicine Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Adult Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.