Individual provider Active NPI

Kenneth G Bridges, MD

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1437144870
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69634 Issued in FL
Practice address
8513 S Federal Hwy
Port St Lucie, FL 34952-3346
Phone
(772) 461-7500
NPI assigned
Sep 13, 2005
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME69634 FL Primary

Addresses

Primary practice location

8513 S Federal Hwy
Port St Lucie, FL 34952-3346

Mailing address

9639 Fairwood CT
Port Saint Lucie, FL 34986-3250
Phone (772) 489-0500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510002148 FL Practitioner - Vascular Surgery 8022042274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7195 S George Blvd
Highland Urgent Care
Sebring, FL 33875-5823
Phone (863) 451-5854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Medical Associates Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
Treasure Coast Medical Associates CurrentSince Mar 1, 2018 Accepting new patients
Broward Neurosurgeons LLC PastSince Jul 1, 2018 Accepting new patients
Bridges Surgical Group LLC Past Accepting new patients
Lawnwood Healthcare Specialists LLC PastSince Aug 14, 2013 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1437144870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9639 FAIRWOOD CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863250",
            "telephone_number": "772-489-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8513 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-461-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "KENNETH",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.