Heather Doeren Bridgens, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2017026356 Issued in MO

Practice address

1916 Grand Blvd
Kansas City, MO 64108-1803

Phone

(913) 297-7472

Fax

(855) 461-1769

NPI assigned

Feb 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: heather.bridgens.2@16552.direct.athenahealth.com

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1457890949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 GRAND BOULEVARD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081803",
            "telephone_number": "913-297-7472",
            "fax_number": "816-527-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 GRAND BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081803",
            "telephone_number": "913-297-7472",
            "fax_number": "855-461-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGENS",
        "first_name": "HEATHER",
        "middle_name": "DOEREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02001",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017026356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briarcliff Ambulatory Surgery Center LP
• Briarcliff Counseling Services
• Briarcliff Family Dental
• Bridge Integrative Medicine LLC
• Bridgecare ABA Mo LLC
• Julia E. Bridges, RN, MSN, FNP-C
• Marc Bridges
• Matthew Aaron Bridges, M.D.
• Bridgewood Health Care Center, L.L.C.
• Bridgewood SNF Opco LLC

• Physician Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.