Individual provider Active NPI

Horace William Bledsoe, MD

  • Adult Medicine Physician
  • Lexington, SC
National Provider Identifier
1972560142
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
8883 Issued in SC
Practice address
123 Carriage Hill Dr
Lexington, SC 29072-7503
Phone
(803) 356-4664
Fax
(803) 609-3521
NPI assigned
Apr 29, 2006
Last updated
Jan 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 8883 SC Primary

Addresses

Primary practice location

123 Carriage Hill Dr
Lexington, SC 29072-7503

Mailing address

669 Barr Rd
Lexington, SC 29072-2369
Phone (803) 957-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040525000175 SC Practitioner - Family PracticePractitioner - Emergency Medicine 6709867039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

669 Barr Rd
Lexington, SC 29072-2369
Phone (803) 957-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8883SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bledsoe Family Medicine LLC Adult Medicine CurrentSince Jan 18, 2010 Accepting new patients
Palmetto Infusion Services LLC Past Accepting new patients
Emmaus Med/Surg Clinic PastSince Jan 22, 2018 Accepting new patients

Locations

602 E Main St
Ste C
Lexington, SC 29072
Phone (803) 359-0164

669 Barr Rd
Lexington, SC 29072
Phone (803) 359-0164

719 S Lake Dr
Lexington, SC 29072
Phone (803) 609-7792

Organizations & group practices 3

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": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1972560142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 BARR RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722369",
            "telephone_number": "803-957-8000",
            "fax_number": "803-957-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CARRIAGE HILL DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727503",
            "telephone_number": "803-356-4664",
            "fax_number": "803-609-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "HORACE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-29",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "8883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.