Charlie H Bridges MD, Facs

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

07141R Issued in LA

Legal business name

CHARLIE H BRIDGES MD, FACS

Practice address

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

Phone

(225) 767-0394

Fax

(225) 767-3904

NPI assigned

May 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charlie H Bridges, MDNPI 1457386310

Title

Owner

Phone

(225) 767-0394

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlie Haywood Bridges, MD

  • Urology Physician
  • Baton Rouge, LA
  • NPI 1457386310
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1003135633",
    "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": {
        "organization_name": "CHARLIE H BRIDGES MD, FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-767-0394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "07141R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370339",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorian Charles
• Jamian Charles
• Morrisdeana M Charles, PHARM D
• Tyton Charles
• Sandy Stuard Charlet, R.N.
• Kayla Hebert Charrier, APRN
• Chase Health Care, Inc.
• Curtis Clifton Chastain II, M.D.
• Katie Chatelain
• Linzay Lyles Chatelain, MS, RDN, LDN

• Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.