DR. ROBERT LOREN BRIDGES (NPI# 1366501876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366501876 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LOREN BRIDGES |
| Credential | M.D. |
| Practice Address |
1751 E. Gardner Way Suite B Wasilla AK 99654 |
| Mailing Address |
P.o. Box 751 Girdwood AK 99587 |
| Practice Telephone | 9073571220 |
| Practice Fax Number | 9073571222 |
| Mailing Telephone | 9073820952 |
| Mailing Fax Number | 8663053886 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
4098 | AK | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4098 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG1552 | 05 | |
| AK | STATE OF AK MEDICAL LICEN | 4098 | 01 |
| AK | MDG155 | 05 | |
| AK | MDG1551 | 05 | |
| AK | BLUE CROSS BLUE SHIELD | N2018 | 01 |
| AK | MD5606 | 05 | |
| AK | MDG1553 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558666743 | Robert Bridges | Psychologist | 4571 W Washington Blvd, Los Angeles, CA 90016-1717 | 2011-01-19 |
| 1376858068 | Robert Barton Bridges | Radiology | 34 Powder Valley Dr, Belleville, IL 62223-1925 | 2010-08-18 |
| 1558445817 | Robert A Bridges | Dentist | 330 Margie Dr, Warner Robins, GA 31088-7817 | 2006-10-24 |
| 1528059359 | Robert Reginald Bridges | Pharmacist | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2005-11-01 |
| 1174536817 | Robert Bridges | Surgery | 1010 W 40th St, Austin, TX 78756-4010 | 2006-08-14 |
| 1285665588 | Robert R Bridges IIi | Obstetrics & Gynecology | 2440 M St Nw, Suite 416, Washington, DC 20037-1404 | 2006-07-05 |
| Street Address |
1751 E. GARDNER WAY SUITE B |
| City | WASILLA |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811063571 | Alaska Open Imaging Center LLC | Radiology | 1751 Gardner Way Ste B, Wasilla, AK 99654-6564 | 2006-11-27 |
| 1508887019 | John P Stella | Radiology | 1751 Gardner Way, Suite B, Wasilla, AK 99654-6513 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619437373 | Iv Radiology Medical Group | Radiology | 9178 Eagle River Ln, Eagle River, AK 99577-6819 | 2019-03-20 |
| 1316328263 | Telerad Account Management of Alaska LLC | Radiology | 3868 N Forestwood Dr, Palmer, AK 99645-9669 | 2015-06-17 |
| 1386986917 | Elaine Clark Pigman | Radiology | Alaska Radiology Associates, 3650 Piper St. Suite A, Anchorage, AK 99508 | 2013-03-21 |
| 1396011300 | Alexander Glen Wright | Radiology | 3650 Piper Street Ste A, Anchorage, AK 99508 | 2012-03-25 |
| 1063785749 | Jonathan Rasmussen | Radiology | 1060 Gaffney Rd Dept Of, Ft Wainwright, AK 99703-5002 | 2012-02-11 |
| 1669705562 | Matrix Radiology Associates, LLC | Radiology | 2440 E Tudor Rd, #238, Anchorage, AK 99507-1185 | 2009-09-09 |
| 1659500866 | William W. Resinger | Radiology | 17330 East Huntley Rd., Palmer, AK 99645-0839 | 2009-07-09 |
| 1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
| 1336348937 | Aurora Diagnostic Imaging LLC | Radiology | 3419 Airport Way Ste D, Fairbanks, AK 99709-4761 | 2007-07-13 |
| 1356560908 | Pacific Northwest Radiology | Radiology | 34 Lavalle Ct, Unalaska, AK 99685-1202 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.