James Bridges, PH.D.
Individual provider Active NPI Psychologist · Fulton, MO
NPI 1205877461 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1205877461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2002011099 (MO)
- Practice address
- 600 E 5TH St
Fulton, MO 65251-1753 - Phone
- (573) 592-2623
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2002011099 | MO | Yes |
Addresses
Primary practice location
600 E 5TH St
Fulton, MO 65251-1753
Mailing address
909 Boulder CT
Fulton, MO 65251-1291
Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.