Individual provider Active NPI

Christy M Bridges

  • Physician Assistant
  • Hillsborough, NC
National Provider Identifier
1417027442
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01544 Issued in NC
Practice address
300 W Tryon St
Hillsborough, NC 27278-2438
Phone
(919) 245-2400
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10003820 WA
Physician Assistant 363A00000X 0010-01544 NC Primary

Addresses

Primary practice location

300 W Tryon St
Hillsborough, NC 27278-2438

Mailing address

300 W Tryon St
Hillsborough, NC 27278-2438

Other identifiers 1

IdentifierTypeStateIssuer
1009817MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717000701 NC Practitioner - Physician Assistant 2264506658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-01544NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Government CurrentSince Jun 22, 2015 Accepting new patients
Craven County Past Accepting new patients
Puget Sound Family Physicians Past Accepting new patients

Locations

2501 Homestead Rd
Chapel Hill, NC 27516
Phone (919) 245-2400

300 W Tryon St
Hillsborough, NC 27278
Phone (919) 245-2400

Interoperability endpoints

  • Direct secure messaging: cbridges110588@direct.unc.nchie.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1417027442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W TRYON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W TRYON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782438",
            "telephone_number": "919-245-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "CHRISTY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003820",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009817",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

Verify at the official NPI Registry.