Individual provider Active NPI

Lauren Bridge, M.D.

  • Emergency Medicine Physician
  • Winter Park, FL
National Provider Identifier
1568783223
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME118630 Issued in FL
Practice address
1371 Sunset Dr
Winter Park, FL 32789-2027
Phone
(727) 244-7765
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2013-00877 NC
Emergency Medicine Physician 207P00000X ME118630 FL Primary

Addresses

Primary practice location

1371 Sunset Dr
Winter Park, FL 32789-2027

Mailing address

1371 Sunset Dr
Winter Park, FL 32789-2027
Phone (727) 244-7765

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-4195

Other identifiers 1

IdentifierTypeStateIssuer
1568783223MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Ca, PC Emergency Medicine CurrentSince May 6, 2024 Accepting new patients
Dispatchhealth-Florida Inc. Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Professional Portable Radiologic Services Inc. PastSince May 6, 2024 Accepting new patients
Dispatchhealth-Florida Inc. Emergency Medicine PastSince Aug 1, 2021 Accepting new patients
Professional Portable Radiologic Services Inc. PastSince Oct 9, 2022 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC PastSince Apr 6, 2025 Accepting new patients

Locations

5735 Sunrise Blvd
Citrus Hts, CA 95610

604 E Huntington Dr
Ste B
Monrovia, CA 91016

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

1603 S Hiawassee Rd
Ste 130
Orlando, FL 32835
Phone (407) 743-5360

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lauren.bridge.1@13869.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1568783223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 SUNSET DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892027",
            "telephone_number": "727-244-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 SUNSET DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892027",
            "telephone_number": "727-244-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-4195",
            "fax_number": "336-716-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "LAUREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2013-00877",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME118630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568783223",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.