Healthcare Provider Details

I. General information

NPI: 1508829250
Provider Name (Legal Business Name): ROBERT ALLAN BEXTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 10/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4939 CALLOWAY DR STE 102
BAKERSFIELD CA
93312-9721
US

IV. Provider business mailing address

PO BOX 20553
BAKERSFIELD CA
93390-0553
US

V. Phone/Fax

Practice location:
  • Phone: 661-829-5939
  • Fax: 661-679-7956
Mailing address:
  • Phone: 661-829-5939
  • Fax: 661-679-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA44013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: