Kevin Alan Bridge (NPI# 1679735393, PAC ID# 2961636899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1679735393 |
| PAC ID by PECOS | 2961636899 |
| Professional Enrollment ID | I20160615000234 |
| Full Name | Kevin Alan Bridge |
| Organization Legal Name | HENDRICK PROVIDER NETWORK |
| Address |
950 N 19th St Suite 200 Abilene TX 79601-2420 |
| Phone Number | 3256705320 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 9739162181 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450229 | HENDRICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 950 N 19th St, Suite 200, Abilene, TX 79601-2420 | 3256705320 | HENDRICK PROVIDER NETWORK |
| Organization Legal Name | HENDRICK PROVIDER NETWORK |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Brooke Terrell | Nurse Practitioner | Hendrick Provider Network | 950 N 19th St, Suite 200, Abilene, TX 79601-2420 |
| Jacqueline Zimmerman | Obstetrics/gynecology | Hendrick Provider Network | 1801 Hickory St, Abilene, TX 79601-2333 |
| Ted Samuel Ritchie | Urology | Hendrick Provider Network | 1904 Pine St, Suite 3a, Abilene, TX 79601-2450 |
| Leigh Collins | Family Medicine | Hendrick Provider Network | 118 S Park Dr C, Brownwood, TX 76801-5957 |
| Ke Ning | Hematology/oncology | Hendrick Provider Network | 2000 Pine St, Abilene, TX 79601-2434 |
| Ishmeet Walia | Nephrology | Hendrick Provider Network | 1210 N 18th St, Abilene, TX 79601-2933 |
| Lisa S Fowler | Internal Medicine | Hendrick Provider Network | 2510 Crockett Dr, Suite A, Brownwood, TX 76801-5928 |
| Joji J Varghese | Interventional Cardiology | Hendrick Provider Network | 1201 N 18th St, Abilene, TX 79601-2932 |
| Tammy P Mccullough | Nurse Practitioner | Hendrick Provider Network | 2371 Crockett Dr, Suite 102, Brownwood, TX 76801-5903 |
| Stuart Allen Martin | Obstetrics/gynecology | Hendrick Provider Network | 1924 Pine St, Suite 402, Abilene, TX 79601-2316 |
| Street Address |
950 N 19TH ST SUITE 200 |
| City | ABILENE |
| State | TX |
| Zip | 79601-2420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Brooke Terrell | Nurse Practitioner | Hendrick Provider Network | 950 N 19th St, Suite 200, Abilene, TX 79601-2420 |
| Matthew E Wick | Family Medicine | 950 N 19th St, Suite 100, Abilene, TX 79601-2420 | |
| Bradley T Kendrick | Colorectal Surgery (proctology) | 950 N 19th St, Suite 202, Abilene, TX 79601-2420 | |
| Eric Areiter | Ophthalmology | Hendrick Provider Network | 950 N 19th St, Suite 100, Abilene, TX 79601-2420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margery A Spivey | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Christopher S Armstrong | Anesthesiology | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Priscilla Kortyna | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Dennis Carter | Anesthesiology | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Troy G Gray | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Jason Gollihar | Certified Registered Nurse Anesthetist (crna) | Hendrick Anesthesia Network | 751 N, 18th, Abilene, TX 79601 |
| Gerry Lawler | Anesthesiology | Hendrick Anesthesia Network | 751 N, Abilene, TX 79601 |
| Charlotte Strate | Certified Registered Nurse Anesthetist | Hendrick Anesthesia Network | 751 N, Abilene, TX 79601 |
| David A Lindley | Interventional Pain Management | Norman J Dozier Md Pllc | 2401 N Treadaway Blvd, Abilene, TX 79601-1953 |
| Amanda Brooke Hanslik | Certified Registered Nurse Anesthetist (crna) | Norman J Dozier Md Pllc | 2401 N Treadaway Blvd, Abilene, TX 79601-1953 |
| Find all physicians in zip 79601 | |||
| City | ABILENE |
| Zip Code | 79601 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | ABILENE + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.