Peter Mark Bridge, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME79084 Issued in FL

Practice address

608 Medical Care Dr
Brandon, FL 33511

Phone

(813) 684-2506

Fax

(813) 684-5785

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • North Bay Village, FL
  • NPI 1952843716
  Medicare reassignment NPD
• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • Lady Lake, FL
  • NPI 1861978652
  NPD
• Ohio Plastic Surgeons, Inc.

  • Specialist
  • Columbus, OH
  • NPI 1952503153

  Plastic Surgery

  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1245295609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MEDICAL CARE DR",
            "address_2": "BLDG 7-601",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115937",
            "telephone_number": "404-842-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MEDICAL CARE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-684-2506",
            "fax_number": "813-684-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "PETER",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME79084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donita Brezovar, ARNP
• Alicia Brick
• George Orman Brick, MD
• Sarah Brickner
• Donna Maria Bridge, MD
• Cassandra Bridges
• Farrah Mahmood Briggs
• Michelle Briggs, RN/LMT
• Bright Psyche Psychological Services, LLC
• Brighter Day Health LLC

• Plastic Surgery Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.