Bryan John Bridgford, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2014021627 Issued in MO

Practice address

2426 S Maiden LN
Joplin, MO 64804-0348

Phone

(417) 206-0560

Fax

(417) 206-0559

NPI assigned

Nov 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1073115457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040348",
            "telephone_number": "417-206-0560",
            "fax_number": "417-206-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040348",
            "telephone_number": "417-206-0560",
            "fax_number": "417-206-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGFORD",
        "first_name": "BRYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014021627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Bretas
• Brett Wilson DDS LLC
• Lizbeth Ruby-Marie Brice, M.D., PHARM.D.
• Connor Michael Bridge, DO
• Kali Bridges, RN, CFNP
• Brian R. Briggs, MD
• Wendy Jon Briggs, PLPC
• Trevor Laron Bright, D.O.
• Brighter Horizons Counseling LLC
• Kayla Brightman, RDH

• Pharmacist in Joplin, MO
• Providers in Joplin, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.