MEDICARE: RAYMOND M BLEDAY DPM, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD057331L	PA
2	207X00000X	Orthopaedic Surgery Physician	ME105356	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00220105	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	214936	OTHER	PA	UPMC
3	108123	OTHER	PA	MEDIPLUS
4	1527981	OTHER	PA	GATEWAY HEALTH PLAN
5	146AH	OTHER	FL	BCBS
6	000268022	OTHER	PA	HIGHMARK BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598769440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND M BLEDAY DPM, MD

Provider Business Mailing Address
First Line	:	PO BOX 15245
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32406-5245
Country	:	US
Telephone Number	:	850-257-5090
Fax Number	:	850-872-9059

Provider Business Practice Location Address
First Line	:	410 W 19TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4602
Country	:	US
Telephone Number	:	850-215-1246
Fax Number	:	850-215-1248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/30/2017

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