Individual provider Active NPI

Robert Lawrence Bligh Jr., PA

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1780684837
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000256 Issued in CT
Practice address
80 Seymour St
Suite 502
Hartford, CT 06102-8000
Phone
(860) 972-0549
NPI assigned
Jul 29, 2005
Last updated
Aug 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000256 CT Primary
Medical Physician Assistant 363AM0700X 256 CT

Addresses

Primary practice location

80 Seymour St
Suite 502
Hartford, CT 06102-8000

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060124000518 CT Practitioner - Physician Assistant 5294759601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000256CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Griffin Hospital CurrentSince Nov 1, 2007 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Paul B Murray M.D., LLC CurrentSince Jan 1, 2006 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

130 Birdseye Rd
Farmington, CT 06032
Phone (860) 247-3279

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

Interoperability endpoints

  • Direct secure messaging: robert.bligh@xdr.hhchealthdirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1780684837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672313",
            "telephone_number": "860-258-3470",
            "fax_number": "860-571-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "address_2": "SUITE 502",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIGH",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000256",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.