Active NPI
Khari Hasan Bridges, M.D.
- Dermatology Physician
- Miami, FL
National Provider Identifier
1376734269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME99204
- Practice address
- 8950 SW 74TH CT Ste 1413
Miami, FL 33156-3173 - Phone
- (305) 670-0146
- Fax
- (305) 670-8943
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME99204 | FL | Primary |
Addresses
Primary practice location
8950 SW 74TH CT Ste 1413
Miami, FL 33156-3173
Mailing address
8950 SW 74TH CT Ste 1413
Miami, FL 33156-3173
Phone (305) 670-0146
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbridges@directaddress.net | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Baylor College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 164 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME99204 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Dermatology | Current | Accepting new patients |
| Skin and Cancer Associates | Dermatology | Past | Accepting new patients |
| Skin and Cancer Associates | Dermatology | Past | Accepting new patients |
Locations
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
8950 SW 74th Ct
Ste 1413
Miami, FL 33156
Phone (305) 670-0146
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Dermatology Physician
- Plantation, FL
- NPI 1427017292
-
- Dermatology Physician
- Plantation, FL
- NPI 1740737576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1376734269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT STE 1413",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563173",
"telephone_number": "305-670-0146",
"fax_number": "305-670-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT STE 1413",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563173",
"telephone_number": "305-670-0146",
"fax_number": "305-670-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "KHARI",
"middle_name": "HASAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME99204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbridges@directaddress.net",
"affiliation": "N",
"endpointDescription": "EMR direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Free text, XML files, PDF files, etc.",
"address_1": "8950 SW 74th Ct Ste 1413",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331563173",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 28, 2020; 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.