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LARRY BLEDSOE MD
NPI 1396763702
Internal Medicine in Fort Wayne, IN

Active since July 17, 2006
620 W BERRY ST, FORT WAYNE, IN 46802(260) 424-6311(260) 424-6311 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Larry Bledsoe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY BLEDSOE MD (NPI 1396763702) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01028106) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396763702
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLARRY BLEDSOECredential: MD
Location Address620 W BERRY STFort Wayne, IN 46802-2106
Mailing Address620 W Berry StFort Wayne, IN 46802-2106 · (260) 424-6311 · Fax (260) 424-6311
Phone(260) 424-6311
Fax(260) 424-6311
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1396763702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01028106
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 01028106 (IN)
620 W BERRY ST, Fort Wayne, IN 46802
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Other Identifiers 2

Medicaid100061080AIN
Medicare UPINB28267

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Bledsoe's NPI number?

The NPI number for Larry Bledsoe is 1396763702. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Larry Bledsoe located?

Larry Bledsoe practices at 620 W Berry St, Fort Wayne, IN 46802. The listed phone number is (260) 424-6311.

What is Larry Bledsoe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Larry Bledsoe accept?

Health plans from CareSource list Larry Bledsoe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Bledsoe was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.