Provider Demographics
NPI:1508829250
Name:BEXTON, ROBERT ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLAN
Last Name:BEXTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20553
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-0553
Mailing Address - Country:US
Mailing Address - Phone:661-829-5939
Mailing Address - Fax:661-679-7956
Practice Address - Street 1:4939 CALLOWAY DR STE 102
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-9721
Practice Address - Country:US
Practice Address - Phone:661-829-5939
Practice Address - Fax:661-679-7956
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44013207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A440130Medicaid
CA00A440130OtherBLUE SHIELD
CAE25109Medicare UPIN
CA00A440131Medicare ID - Type Unspecified