Active NPI
Bridger Pathology Laboratores, P.a.
- Clinical Medical Laboratory
- Prattville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 5640
- Legal business name
- BRIDGER PATHOLOGY LABORATORES, P.A.
- Practice address
- 635 McQueen Smith Rd N
1St Floor
Prattville, AL 36066-5561 - Phone
- (334) 288-4963
- Fax
- (334) 288-4250
- NPI assigned
- Nov 13, 2006
- Last updated
- Feb 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William M Bridger Jr.
- Title
- President
- Phone
- (334) 288-4963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 5640 | AL | Primary |
Addresses
Primary practice location
635 McQueen Smith Rd N
1St Floor
Prattville, AL 36066-5561
Mailing address
2055 Normandie Dr
Suite 208
Montgomery, AL 36111-2732
Phone (334) 288-4963
National Provider Directory
National Provider Directory- Tax ID family
- Bridger Pathology Laboratores PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Montgomery, AL
- NPI 1720034754
Locations
635 McQueen Smith Rd N
Fl 1
Prattville, AL 36066
Phone (334) 288-4963
635 McQueen Smith Rd N
Ste C
Prattville, AL 36066
Phone (334) 356-6347
Practitioners & affiliated clinicians
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.
-
- Clinical Medical Laboratory
- Montgomery, AL
- NPI 1285725614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1497826036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 208",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4963",
"fax_number": "334-288-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MCQUEEN SMITH RD N",
"address_2": "1ST FLOOR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360665561",
"telephone_number": "334-288-4963",
"fax_number": "334-288-4250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGER PATHOLOGY LABORATORES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "BRIDGER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-288-4963",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "AL",
"license": "5640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.