Stewart Bridger, PD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD16257 Issued in AR

Practice address

4015 W Wedington Dr
Fayetteville, AR 72704-5733

Phone

(479) 442-2561

NPI assigned

Jul 16, 2022

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Fayetteville, AR
  • NPI 1760803035
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1093449829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S 26TH PL APT 2314",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584251",
            "telephone_number": "870-919-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 W WEDINGTON DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045733",
            "telephone_number": "479-442-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGER",
        "first_name": "STEWART",
        "credential": "PD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lukas Brettin, PTA
• Ashlea Veronica Brewer, NP
• Icem E Brewer, O.D.
• Samantha Breyfogle, LPC, LMFT
• Brian W Buell Eye Care PA
• Bridges Therapy Group, PLLC
• Ana Julia Bridges, PHD
• Caroline Elizabeth Bridges
• Briggs Vision Clinic
• Bradley E Briggs, PHARMD

• Pharmacist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.