Individual provider Active NPI

Robert Earl Bland Jr., CRNA; NSPM-C

  • Certified Registered Nurse Anesthetist
  • Port Charlotte, FL
National Provider Identifier
1366439176
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11013552 Issued in FL
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

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
664195CAMDCertified Registered Nurse Anesthetist
201907877CRNA-PPORMDCertified 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.

Verify at the official NPI Registry.