Active NPI
Robert Earl Bland Jr., CRNA; NSPM-C
- Certified Registered Nurse Anesthetist
- Port Charlotte, FL
National Provider Identifier
1366439176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11013552
- Practice address
- 2500 Harbor Blvd
Shorepoint Health Port Charlotte
Port Charlotte, FL 33952 - Phone
- (941) 766-4122
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 201403006CRNA | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | 664195 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 201907877CRNA-PP | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11013552 | FL | Primary |
Addresses
Primary practice location
2500 Harbor Blvd
Shorepoint Health Port Charlotte
Port Charlotte, FL 33952
Mailing address
10501 Fgcu Blvd S
Fort Myers, FL 33965-6565
Phone (239) 745-4537
Other practice location 1
400 9th St
Florence, OR 97439-7398
Phone (541) 902-6016
Other practice location 2
10501 Fgcu Blvd S
Fort Myers, FL 33965-6565
Phone (239) 745-4537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 664195 | CA | MD | Certified Registered Nurse Anesthetist |
| 201907877CRNA-PP | OR | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1366439176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 FGCU BLVD S",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339656565",
"telephone_number": "239-745-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HARBOR BLVD",
"address_2": "SHOREPOINT HEALTH PORT CHARLOTTE",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33952",
"telephone_number": "941-766-4122"
}
],
"practiceLocations": [
{
"address_1": "400 9th St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "OR",
"postal_code": "974397398",
"country_code": "US",
"telephone_number": "541-902-6016",
"fax_number": "541-997-4343",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10501 Fgcu Blvd S",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339656565",
"country_code": "US",
"telephone_number": "239-745-4537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAND",
"first_name": "ROBERT",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "CRNA; NSPM-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2022-12-27",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201403006CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "664195",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201907877CRNA-PP",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11013552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.