Darby Grace Bridges

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-298395 Issued in MS

Practice address

1465 Lakeland Dr
Jackson, MS 39216-4719

Phone

(601) 352-7784

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2023.

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1487436200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ST REGIS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164719",
            "telephone_number": "601-352-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "DARBY",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MS",
            "license": "RBT-23-298395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Henry Brewerton, M.D.
• Brady Brian
• Bridgecare Health Navigators, LLC
• Sarah Grace Bridgeman, MD
• Callie Bridges, CRNA
• Eric W. Bridges, M.D.
• Holly M Bridges, CFNP
• James Luke Bridges
• Joseph Scott Bridges, MSN, RN, AGACNP
• Matthew Hankins Bridges, MD

• All providers in Jackson, MS
• Behavior Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.