Individual provider Active NPI

Justin Stoddard Bidwell, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1437264256
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102405 Issued in FL
Practice address
5880 49TH St N Ste N-104
St Petersburg, FL 33709-2150
Phone
(727) 528-6100
Fax
(727) 528-7895
NPI assigned
Aug 20, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102405 FL Primary

Addresses

Primary practice location

5880 49TH St N Ste N-104
St Petersburg, FL 33709-2150

Mailing address

5880 49TH St N
Suite N-104
St Petersburg, FL 33709-2150
Phone (727) 528-6100

Other practice location 1

812 W. Dr MLK Jr Blvd., Suite 201
Tampa, FL 33603
Phone (813) 224-9222

Other practice location 2

5800 49th St N Ste S-106
St Petersburg, FL 33709-2146
Phone (727) 528-6100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000136 FL Practitioner - Physician Assistant 5698720142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Medical Associates PAGroup PAC ID 7214968791, 11 clinicians

Practice addresses (Care Compare)

5880 49TH St N
Suite 104
St Petersburg, FL 33709-2142
Phone (727) 528-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
77.16
Promoting interoperability
93
Improvement activities
40
Cost
75.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Gateway Radiology Consultants, P.a. Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jbidwell189344@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1437264256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE N-104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N STE N-104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 W. Dr MLK Jr Blvd., Suite 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33603",
            "country_code": "US",
            "telephone_number": "813-224-9222",
            "fax_number": "727-528-7895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 49th St N Ste S-106",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092146",
            "country_code": "US",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "JUSTIN",
        "middle_name": "STODDARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.