Jacob R Bledsoe, MD
Pathology, Anatomic Pathology & Clinical Pathology in Boston, Massachusetts
1649564626- Practice location
- 300 Longwood Ave, Boston, MA 02115-5724
- Phone
- 617-355-6000
- Fax
- —
- Last updated
- January 8, 2021
Jacob R. Bledsoe is a Pathology, Anatomic Pathology & Clinical Pathology based in Boston, MA. Jacob R. Bledsoe practices in Boston, MA and has the professional credentials of MD. The NPI Number for Jacob R. Bledsoe is 1649564626 and holds a License No. 261670 (MA). The current practice location address for Jacob R. Bledsoe is 300 Longwood Ave, Boston, MA 02115-5724 and can be reached out via phone at 617-355-6000.
Provider Profile Details
- NPI Number
- 1649564626
- Provider Name
- Jacob R. Bledsoe
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 Longwood Ave, Boston, MA 02115-5724
- Phone Number
- 617-355-6000
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 7, 2011
- Last Update Date
- January 8, 2021
- Certification Date
- January 8, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Longwood Ave
Boston, MA 02115-5724 - City
- Boston
- State
- Massachusetts
- Zip
- 02115-5724
- Phone Number
- 617-355-6000
Provider Business Mailing Address Details
- Address
- 300 Longwood Ave
Boston, MA 02115-5724 - City
- Boston
- State
- MA
- Zip
- 02115-5724
- Phone Number
- 617-355-6000
License Information
- License Number (1)
- 261670
- License State (1)
- MA
- Taxonomy (1)
- Pathology, Hematology · 207ZH0000X
- License Number (2)
- 261670
- License State (2)
- MA
- Taxonomy (2)
- Pathology, Anatomic Pathology · 207ZP0101X
- License Number (3)
- 261670
- License State (3)
- MA
- Taxonomy (3)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacob R Bledsoe, MD?
The NPI number of Jacob R Bledsoe, MD is 1649564626. It was assigned on June 7, 2011 and is currently active in the NPPES registry.
What is the specialty of Jacob R Bledsoe, MD?
Jacob R Bledsoe, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in MA under license number 261670.
Where does Jacob R Bledsoe, MD practice?
The practice location is 300 Longwood Ave, Boston, MA 02115-5724. The office can be reached at 617-355-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649564626 directly on the NPPES registry website.