Individual provider Active NPI

Robert S Bliss, MD

  • Family Medicine Physician
  • Florence, CO
National Provider Identifier
1972505964
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
028322 Issued in CO
Practice address
501 W 5TH St
Florence, CO 81226-1126
Phone
(719) 784-4816
Fax
(719) 784-6014
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 028322 CO Primary

Addresses

Primary practice location

501 W 5TH St
Florence, CO 81226-1126

Mailing address

501 W 5TH St
Florence, CO 81226-1126
Phone (719) 784-4816

Other identifiers 1

IdentifierTypeStateIssuer
05638952MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20101112000462 CO Practitioner - Family Practice 8628263852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Medical Center LLCGroup PAC ID 0648301838, 5 clinicians

Practice addresses (Care Compare)

501 W 5TH St
Florence, CO 81226-1126
Phone (719) 784-4816

Hospital & facility affiliations

  • Sangre de Cristo Hospice & Palliative Care Hospice, Pueblo, CO, CCN 061510
  • St Thomas More Hospital Hospital, Canon City, CO, CCN 061344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028322COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Medical Center LLC Family Medicine CurrentSince Oct 8, 2014 Accepting new patients
Sangre de Cristo Hospice & Palliative Care Family Medicine CurrentSince Jan 16, 2015 Accepting new patients

Locations

601 Greenwood Ave
Canon City, CO 81212

501 W 5th St
Florence, CO 81226
Phone (719) 784-4816

1920 Valley Dr
Pueblo, CO 81008

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1972505964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 5TH ST",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812261126",
            "telephone_number": "719-784-4816",
            "fax_number": "719-784-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 5TH ST",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812261126",
            "telephone_number": "719-784-4816",
            "fax_number": "719-784-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "028322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05638952",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, CO

Sources for this page

Verify at the official NPI Registry.