Provider Demographics
NPI:1811061377
Name:BIXLER, ROBIN M (DO)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:BIXLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6615 BUTLERS CREST DR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-8839
Mailing Address - Country:US
Mailing Address - Phone:414-795-9450
Mailing Address - Fax:
Practice Address - Street 1:1217 S EAST AVE STE 209
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2329
Practice Address - Country:US
Practice Address - Phone:941-559-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48591-0212084P0800X
MN507732084P0800X
FLOS149172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN260002892Medicare PIN