Active NPI
Joel L Bridgewater, M.D.
- Emergency Medicine Physician
- Muscle Shoals, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.32800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102I935745 | Other | AL | MEDICARE |
| P01309083 | Medicaid | MS | |
| 156039 | Medicaid | AL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
15155 Hwy 43
Russellville, AL 35653-1975
Phone (256) 332-1611
Hospital & facility affiliations
- Russellville Hospital
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL27993 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Northwest Alabama Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Coffee County Physician Group PC | Emergency Medicine | Current | Accepting new patients |
| Lakeland Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Shoal'S Family Practice-Urgent Care LLC | Current | Accepting new patients | |
| App of Alabama Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Mobile PC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1013269802
-
- Emergency Medicine Physician
- Florence, AL
- NPI 1639692767
-
- Family Medicine Physician
- Muscle Shoals, AL
- NPI 1922786706
-
- Family Medicine Physician
- Haleyville, AL
- NPI 1679913784
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Russellville, AL
- NPI 1316015241
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.