Individual provider Active NPI

Mark Wilson Bridges, M.D.

  • Orthopaedic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1225091143
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME91496 Issued in FL
Practice address
3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797
Phone
(561) 570-2501
NPI assigned
Apr 11, 2006
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME91496 FL
Orthopaedic Surgery Physician 207X00000X ME91496 FL Primary

Addresses

Primary practice location

3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797

Mailing address

6415 Lake Worth Rd Ste 302
Greenacres, FL 33463-2906

Other practice location 1

15600 NW 67th Ave Ste 306
Miami Lakes, FL 33014-2176
Phone (561) 570-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000042 FL Practitioner - Orthopedic Surgery 8224080486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

15600 NW 67TH Ave
Suite 306
Miami Lakes, FL 33014-2176
Phone (305) 834-7552

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91496FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Miami Lakes Orthopaedic Surgery Current Accepting new patients
Ortho Florida, LLC Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Revival Orthopaedics Inc Orthopaedic Surgery CurrentSince Sep 7, 2005 Accepting new patients
Ortho Florida, LLC Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Davie Urgent Care LLC Past Accepting new patients
Tuckahoe Orthopaedic Associates, LTD Orthopaedic Surgery PastSince Dec 18, 2022 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

3900 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (305) 306-0600

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

1190 NW 95th St
Ste 305
Miami, FL 33150
Phone (305) 694-9400

1190 NW 95th St
Ste 404
Miami, FL 33150
Phone (305) 693-6902

21097 NE 27th Ct
Ste 540
Miami, FL 33180
Phone (305) 937-3022

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

7600 SW 87th Ave
Ste 200
Miami, FL 33173
Phone (305) 591-8989

15600 NW 67th Ave
Ste 306
Miami Lakes, FL 33014
Phone (305) 834-7552

350 N Pine Island Rd
Ste 200
Plantation, FL 33324
Phone (954) 424-4321

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1225091143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 302",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD BLVD STE 204",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216797",
            "telephone_number": "561-570-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15600 NW 67th Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142176",
            "country_code": "US",
            "telephone_number": "561-570-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "MARK",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME91496",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME91496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.