NPIMap

Individual provider Active NPI

Jane M. Bridges, M.D.

  • Family Medicine Physician
  • Vincennes, IN
National Provider Identifier
1528148434
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01036900A Issued in IN
Practice address
700 Willow St
Suite 200
Vincennes, IN 47591-1028
Phone
(812) 885-8040
Fax
(812) 885-8043
NPI assigned
Oct 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01036900A IN Primary

Addresses

Primary practice location

700 Willow St
Suite 200
Vincennes, IN 47591-1028

Mailing address

700 Willow St
Suite 200
Vincennes, IN 47591-1028
Phone (812) 885-8040

Other identifiers 1

IdentifierTypeStateIssuer
ME44190MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000037 IN Practitioner - Family PracticePractitioner - Internal Medicine 6800956723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Willow St
200 Bridges
Vincennes, IN 47591-1029
Phone (812) 885-8040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue31
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01036900AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc Family Medicine CurrentSince Nov 1, 2008 Accepting new patients
Good Samaritan Hospital CurrentSince Nov 1, 2008 Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients

Locations

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010

700 Willow St
Ste 200
Vincennes, IN 47591
Phone (812) 885-8040

Interoperability endpoints

  • Direct secure messaging: jbridges46289@direct.deaconess.com

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 9

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528148434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST",
            "address_2": "SUITE 200",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911028",
            "telephone_number": "812-885-8040",
            "fax_number": "812-885-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST",
            "address_2": "SUITE 200",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911028",
            "telephone_number": "812-885-8040",
            "fax_number": "812-885-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JANE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036900A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ME44190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.