Bridges Surgical Group LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BRIDGES SURGICAL GROUP LLC

Practice address

1900 Nebraska Ave
Suite 4
Fort Pierce, FL 34950-4837

Phone

(772) 461-7500

NPI assigned

May 31, 2006

Last updated

Apr 20, 2008By 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

Louis Joseph

Title

VP

Phone

(772) 461-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kenneth G Bridges, MD

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1437144870
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1598712796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-461-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-461-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "772-461-7500"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "94791",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael James Brennan, MD, MS
• Brett D Schoch D C P a (Living Waters Wellness)
• Morgan Rose Brewer
• Brian B. McKnight, M.D.
• Tisha L Bridge, PA-C
• Peggy B Brigance, FNP
• Bright Dialysis LLC (Bright Dialysis)
• Bright Kidney Care LLC
• Brighten Bay FL LLC
• Brighter Care Adult Daycare Center LLC

• Surgery Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.