Active NPI
Ouida Bridges, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1366460230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME49395
- Practice address
- 1190 NW 95TH St
Suite 304
Miami, FL 33150-2063 - Phone
- (305) 637-6400
- Fax
- (305) 636-5155
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME49395 | FL | Primary |
Addresses
Primary practice location
1190 NW 95TH St
Suite 304
Miami, FL 33150-2063
Mailing address
5607 NW 27TH Ave
Suite 1
Miami, FL 33142-2826
Phone (305) 637-6400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011 | Other | FL | WELLCARE |
| 26535 | Other | FL | BCBS |
| 044712900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME49395 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessie Trice Community Health System Inc | Past | Accepting new patients | |
| Jessie Trice Community Health System, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1467614099
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1689605362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1366460230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5607 NW 27TH AVE",
"address_2": "SUITE 1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331422826",
"telephone_number": "305-637-6400",
"fax_number": "305-636-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST",
"address_2": "SUITE 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502063",
"telephone_number": "305-637-6400",
"fax_number": "305-636-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "OUIDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME49395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "00011",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "26535",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044712900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.