Active NPI
Jennifer Rahn Bridger, PA
- Physician Assistant
- Clayton, NC
National Provider Identifier
1134442338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102966
- Practice address
- 620 Veterans Pkwy Ste 101
Clayton, NC 27520-5803 - Phone
- (919) 576-0716
- Fax
- (919) 964-3122
- NPI assigned
- Mar 3, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102966 | NC | Primary |
Addresses
Primary practice location
620 Veterans Pkwy Ste 101
Clayton, NC 27520-5803
Mailing address
15 Brakas LN
Garner, NC 27529-5735
Phone (919) 576-0716
Other practice location 1
218 Towne Village Dr
Cary, NC 27513-8910
Phone (919) 576-0716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102966 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Pharmacy of Cary LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Cary, NC
- NPI 1710332242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1134442338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BRAKAS LN",
"city": "GARNER",
"state": "NC",
"postal_code": "275295735",
"telephone_number": "919-576-0716",
"fax_number": "919-964-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 VETERANS PKWY STE 101",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205803",
"telephone_number": "919-576-0716",
"fax_number": "919-964-3122"
}
],
"practiceLocations": [
{
"address_1": "218 Towne Village Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275138910",
"country_code": "US",
"telephone_number": "919-576-0716",
"fax_number": "919-964-3122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIDGER",
"first_name": "JENNIFER",
"middle_name": "RAHN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.