Jason Peary Bridges

Key facts

NPI

1003129651

Entity type

Individual (NPI type 1)

Primary specialty

Urology Physician 208800000X

License

MD.208016 (LA)

Practice address

7777 Hennessy Blvd Ste 608
Baton Rouge, LA 70808-4366

Phone

(225) 767-0394

Fax

(225) 767-3904

NPI assigned

Jul 23, 2010

Sex

Male

Sole proprietor

Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Our Lady of the Lake Physician Group LLC Internal Medicine Physician · Baton Rouge, LA · NPI 1033494943
  Medicare reassignment Care Compare group NPD LA
• Our Lady of the Lake Physician Group, LLC Rural Health Clinic/Center · Maurepas, LA · NPI 1134152630
  Care Compare group
• Our Lady of the Lake Physician Group LLC Comprehensive Outpatient Rehabilitation Facility (CORF) · Baton Rouge, LA · NPI 1235912502
  NPD
• Our Lady of the Lake Physician Group LLC Hematology & Oncology Physician · Baton Rouge, LA · NPI 1184671455
  NPD (past)

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District 1 of East Baton Rouge Parish Endoscopy Clinic/Center · Zachary, LA · NPI 1255080503
  Care Compare affiliation Hospital
• Hospital Service District 1 of East Baton Rouge Parish General Acute Care Hospital · Zachary, LA · NPI 1376591941
  Care Compare affiliation Hospital
• Hospital Service District 1 of East Baton Rouge Parish Psychiatry Physician · Zachary, LA · NPI 1679466577
  Care Compare affiliation Hospital
• Hospital Service District 1 of East Baton Rouge Parish Allergy & Immunology Physician · Zachary, LA · NPI 1740061076
  Care Compare affiliation Hospital
• Hospital Service District 1 of East Baton Rouge Parish Gastroenterology Physician · Zachary, LA · NPI 1952878506
  Care Compare affiliation Hospital
• Hospital Service District 1 of East Baton Rouge Parish Dermatology Physician · Zachary, LA · NPI 1992477111
  Care Compare affiliation Hospital
• Our Lady of the Lake Hospital Inc. General Acute Care Hospital · Baton Rouge, LA · NPI 1366436123
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Urology

Education

University of Mississippi School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Our Lady of the Lake Physician Group LLC (637 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital · Baton Rouge, LA · CCN 190064
• Lane Regional Medical Center Hospital · Zachary, LA · CCN 190020

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 9)

Locations

Networks

• LA PPO C-SNP
• MS PPO C-SNP
• MS PPO
• TX HMO D-SNP
• TX HMO
• MS PPO D-SNP

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2016.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1003129651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 608",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084366",
            "telephone_number": "225-767-0394",
            "fax_number": "225-767-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 608",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084366",
            "telephone_number": "225-767-0394",
            "fax_number": "225-767-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JASON",
        "middle_name": "PEARY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "MD.208016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

• Bridges Home Health Care, Inc.
• Bridges Learning Solutions Inc.
• Bridges to Serenity LLC
• Bridges Urology
• Charlie Haywood Bridges, MD
• Josie-Grace Bridges, LMSW
• Rahnya Christina Bridges
• Christina Shennel Bridgett
• Bridgette Connorton, OD, LLC
• Bridging the Gap of B R Inc

All providers in Baton Rouge, LA · Urology Physician in Louisiana