Andrew J Bridge, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

67983 Issued in WI

Practice address

849 Kellogg Ave
Janesville, WI 53546-2808

Phone

(608) 755-7960

Fax

(608) 755-7873

NPI assigned

Apr 5, 2017

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: andrew.bridge.p3@direct.hpc.nextgenshare.com
• Direct secure messaging: seatac.healthpoint.p3@direct.hpc.nextgenshare.com

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

• Healthpoint

  dba HealthPoint Redmond Medical

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621

  Family Medicine

  NPD (past)
• St. John's Lutheran Hospital, Inc.

  dba Cabinet Peaks Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Libby, MT
  • NPI 1588720882
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1033642244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 KELLOGG AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462808",
            "telephone_number": "608-755-7960",
            "fax_number": "608-755-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 KELLOGG AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462808",
            "telephone_number": "608-755-7960",
            "fax_number": "608-755-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 S 188th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Seatac",
            "state": "WA",
            "postal_code": "981885070",
            "country_code": "US",
            "telephone_number": "206-277-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "6585-851",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "67983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seatac.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4040 S 188th St Ste 201",
            "city": "Seatac",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981885070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breezy Transportation
• Linda P Brethauer, RN NP
• William Breyman, APSW
• Lisa A Brickler, OT
• David M Brickman, MD
• Karen L Bridge, DC
• Bridgeway Psychological Associates LTD.
• Nancy A Briggs, LCSW, SAC
• Larissa Brigham, OD
• Lonnie Brigham II

• Family Medicine Physician in Janesville, WI
• Providers in Janesville, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.