BRIDGES CLINIC LLC (NPI# 1457998486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457998486 |
| Entity Type | Organization |
| Organization Name | BRIDGES CLINIC LLC |
| Practice Address |
920 Ebenezer Blvd Ste A Madison MS 39110-6005 |
| Mailing Address |
110 St Regis Dr Madison MS 39110-7798 |
| Practice Telephone | 7692001600 |
| Practice Fax Number | 7692001571 |
| Mailing Telephone | 6019660383 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | DR. JAMES KEVIN BRIDGES (SOLE MEMBER) |
| Authorized Official Telephone | 7692001600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1551 E County Line Rd, Jackson, MS 392111801 | 6019660383 | |
| 464 Church Rd Ste 700, Madison, MS 391106913 | 6019660383 |
| Street Address |
920 EBENEZER BLVD STE A |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205065554 | James Kevin Bridges | Internal Medicine | 920 Ebenezer Blvd Ste A, Madison, MS 39110-6005 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1063927465 | Healthcare Plus Limited Liability Company | Internal Medicine | 315 Summer Oak Trl, Madison, MS 39110-9147 | 2017-12-07 |
| 1326575168 | Jacob Ira Morgan | Internal Medicine | 104 Perry Williams Rd, Madison, MS 39110-8307 | 2017-05-11 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1104266600 | Samih Khauli | Internal Medicine | 822 E Washington Ave Apt 900, Madison, WI 53703-6511 | 2013-06-28 |
| 1336586502 | Susan Mary O'malley | Internal Medicine | 869 Boston Post Rd, Madison, CT 06443-3144 | 2013-05-29 |
| 1962753855 | Karl Winfield Hatten Sr. | Internal Medicine | 117 Greens View Dr, Madison, MS 39110-8050 | 2012-10-02 |
| 1497019863 | Kristen Crawford | Internal Medicine | 401 Baptist Dr Ste 104, Madison, MS 39110-2010 | 2012-06-29 |
| 1114281680 | Meghan Poole | Internal Medicine | 106 Highland Way Ste 103, Madison, MS 39110 | 2012-06-29 |
| 1215202056 | Arthur Decillis | Internal Medicine | 80 Devonshire Ln, Madison, CT 06443-1681 | 2012-03-13 |
| Find all providers in MADISON | ||||
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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.