Individual provider Active NPI

Joel L Bridgewater, M.D.

  • Emergency Medicine Physician
  • Muscle Shoals, AL
National Provider Identifier
1407944796
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.32800 Issued in AL
Practice address
1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957
Phone
(256) 397-8842
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X LL27993 SC
Emergency Medicine Physician 207P00000X MD.32800 AL Primary

Addresses

Primary practice location

1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957

Mailing address

1110 E 6TH St Ste D
Muscle Shoals, AL 35661-3957
Phone (256) 397-8842

Other practice location 1

1707 Brentwood
Muscle Shoals, AL 35661-4747
Phone (303) 815-4133

Other identifiers 3

IdentifierTypeStateIssuer
102I935745OtherALMEDICARE
P01309083MedicaidMS
156039MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20131127000225 AL Practitioner - Emergency Medicine 6507092376 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Denver, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Physician Group PCGroup PAC ID 4082671235, 20 clinicians

Practice addresses (Care Compare)

15155 Hwy 43
Russellville, AL 35653-1975
Phone (256) 332-1611

Hospital & facility affiliations

  • Russellville Hospital Hospital, Russellville, AL, CCN 010158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL27993SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Emergency Medicine CurrentSince Jan 11, 2018 Accepting new patients
Northwest Alabama Emergency Medicine LLC Emergency Medicine CurrentSince Aug 10, 2018 Accepting new patients
Coffee County Physician Group PC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Lakeland Physicians LLC Emergency Medicine CurrentSince Jan 3, 2020 Accepting new patients
Shoal'S Family Practice-Urgent Care LLC CurrentSince Jul 1, 2023 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Emergency Services of Mobile PC Emergency Medicine CurrentSince Mar 11, 2024 Accepting new patients
Lakeland Physician Practices LLC Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

1110 E 6th St
Ste D
Muscle Shoals, AL 35661
Phone (256) 397-8842

211 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8160

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: curjbridg@yourcarecommunity.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1407944796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E 6TH ST STE D",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613957",
            "telephone_number": "256-397-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E 6TH ST STE D",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613957",
            "telephone_number": "256-397-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Brentwood",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356614747",
            "country_code": "US",
            "telephone_number": "303-815-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGEWATER",
        "first_name": "JOEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "LL27993",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.32800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I935745",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P01309083",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156039",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.