Bridges Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRIDGES CLINIC LLC

Practice address

920 Ebenezer Blvd Ste a
Madison, MS 39110-6005

Phone

(769) 200-1600

Fax

(769) 200-1571

NPI assigned

Dec 10, 2019

Last updated

May 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Kevin Bridges, MDNPI 1205065554

Title

Sole Member

Phone

(769) 200-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACHBDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Kevin Bridges, M.D.

  • Internal Medicine Physician
  • Madison, MS
  • NPI 1205065554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1457998486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 EBENEZER BLVD STE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106005",
            "telephone_number": "769-200-1600",
            "fax_number": "769-200-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 EBENEZER BLVD STE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106005",
            "telephone_number": "769-200-1600",
            "fax_number": "769-200-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "769-200-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Kamryn Brewer, FNP-C
• Sarah Joy Brewer, RPH
• Brick City Compounding LLC
• Brick City Drugs, LLC (Brick City Drugs)
• James Kevin Bridges, M.D.
• Julia Bristow
• Maxie Britton, RN, CIC-CSP,MA GC-C
• Anne Darrington Brooks, OTD, OTR/L
• Hayley T Brown, SLP

• Internal Medicine Physician in Madison, MS
• Providers in Madison, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.