Organization Active NPI

Robert D Bleza MD, LLC

  • Specialist
  • Crown Point, IN
National Provider Identifier
1366770984
Registry record updated May 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROBERT D BLEZA MD, LLC
Practice address
115 E 113TH Ave
Crown Point, IN 46307-9706
Phone
(219) 663-8110
Fax
(219) 663-8115
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2011

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

Authorized official

Name
Dr. Robert Bleza, MD
Title
President
Phone
(219) 663-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

115 E 113TH Ave
Crown Point, IN 46307-9706

Mailing address

PO Box 728
Schererville, IN 46375-0728
Phone (219) 663-8110

National Provider Directory

National Provider Directory

Locations

115 E 113th Ave
Crown Point, IN 46307
Phone (219) 663-8110

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306540800000",
    "number": "1366770984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463750728",
            "telephone_number": "219-663-8110",
            "fax_number": "219-663-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 113TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079706",
            "telephone_number": "219-663-8110",
            "fax_number": "219-663-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D BLEZA MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2011-05-28",
        "status": "A",
        "authorized_official_last_name": "BLEZA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-663-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; 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.