LARRY BLEDSOE (MD) – Internal Medicine Physician, NPI 1396763702

LARRY BLEDSOE (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 01028106 (IN). The NPI Number for LARRY BLEDSOE (MD) is 1396763702

Main info

Male
Sole Proprietor
Name
LARRY BLEDSOE (MD)
NPI
1396763702
Phone
(260) 424-6311
Address
620 W BERRY ST
Enumeration Date
17 July 2006
Last Update Date
1 September 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LARRY BLEDSOE (MD)

  • 620, West Berry Street, Fort Wayne Downtown District, Fort Wayne, Allen County, Indiana, 46802, United States

    FORT WAYNE, IN 468022106

    Phone: (260) 424-6311

    Fax: (260) 424-6311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46802)

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Reviews

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Frequently asked questions

How do payers reference LARRY BLEDSOE (MD)?
For LARRY BLEDSOE (MD), use NPI 1396763702 as the unique 10-digit identifier.
Is LARRY BLEDSOE (MD) shown as active in public data?
Registry records indicate LARRY BLEDSOE (MD) maintains an active NPI.
How would a patient describe LARRY BLEDSOE (MD)'s focus?
For LARRY BLEDSOE (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LARRY BLEDSOE (MD)?
Travel planning: use Fort Wayne, Indiana as the reference point for LARRY BLEDSOE (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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