Robert Chandler Bledsoe, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

G4836 Issued in TX

Practice address

1600 W College St Ste 380
Grapevine, TX 76051-3583

Phone

(817) 481-0868

Fax

(817) 481-1378

NPI assigned

Nov 14, 2006

Last updated

May 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skilled Biologics, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1376386763

  TX

  Medicare reassignment NPD
• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423

  TX

  Medicare reassignment NPD
• Skilled Physicians Group

  • General Practice Physician
  • Glendale, CA
  • NPI 1902444623

  TX

  Medicare reassignment
• DFW Plastic Surgery

  • Specialist
  • Grapevine, TX
  • NPI 1124277488
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1396817409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE 380",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513583",
            "telephone_number": "817-481-0868",
            "fax_number": "817-481-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE 380",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513583",
            "telephone_number": "817-481-0868",
            "fax_number": "817-481-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "ROBERT",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G4836",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "G4836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "89911Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul S. Bhella, M.D.
• Binod Bista, OTR
• Bkchen, PLLC (Barbara K. Chen, MD)
• Robert Blandford, BCBA, LBA
• Maria Lourdes Blankenship, PT
• Clifford M. Bliss, D.P.M.
• Katelyn Elizabeth Blumenthal, PT, DPT
• Paul Joshua Boerger, CPNP-PC
• Paul Boettcher
• Allison Bollinger

• Facial Plastic Surgery Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.