Provider Demographics
NPI:1841297652
Name:ROBLEDO, BRIDGET (MD)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:ROBLEDO
Suffix:
Gender:F
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 2421
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-1400
Mailing Address - Country:US
Mailing Address - Phone:830-258-7090
Mailing Address - Fax:830-258-7098
Practice Address - Street 1:575 HILL COUNTRY DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6085
Practice Address - Country:US
Practice Address - Phone:830-258-7090
Practice Address - Fax:830-258-7098
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6555207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX335344YL21Medicare PIN