Active NPI
Patrick Christopher Bridges
- Peer Specialist
- Metairie, LA
National Provider Identifier
1124548383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 205 Maple Ridge Dr
Metairie, LA 70001-6144 - Phone
- (504) 221-8171
- Fax
- (614) 625-1535
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
205 Maple Ridge Dr
Metairie, LA 70001-6144
Mailing address
1010 Common St
New Orleans, LA 70112-2401
Phone (504) 258-9198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1124548383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 COMMON ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122401",
"telephone_number": "504-258-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MAPLE RIDGE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700016144",
"telephone_number": "504-221-8171",
"fax_number": "614-625-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "PATRICK",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.