Bridget Chepkoech Kirong, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2668 Issued in TN

Practice address

1137 S Dupree Ave Ste 400
Brownsville, TN 38012-3255

Phone

(731) 779-0902

Fax

(731) 779-0905

NPI assigned

Oct 13, 2011

Last updated

Apr 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bridget Chepkoech Kipkilel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1184805574
  NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1295010924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 S DUPREE AVE STE 400",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380123255",
            "telephone_number": "731-779-0902",
            "fax_number": "731-779-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 S DUPREE AVE STE 400",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380123255",
            "telephone_number": "731-779-0902",
            "fax_number": "731-779-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRONG",
        "first_name": "BRIDGET",
        "middle_name": "CHEPKOECH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "KIPKILEL",
            "middle_name": "CHEPKOECH",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Peggy Ann Jelks
• Crystal Celeste Johnson
• Ashley P. Jones, DPT
• Madison Joyner, OT
• Rachel Kelly
• Lewis Dental Group, PLLC
• Samantha Lochridge, APN
• Main Street Pharmacy of Brownsville LLC (Main Street Pharmacy)
• Madison Martin, PA
• Master It All Counseling & Consulting, PLLC

• Physician Assistant in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.