Individual provider Active NPI

Vestinia Madonna Bridges, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Clinton, MD
National Provider Identifier
1609808773
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
D0052474 Issued in MD
Practice address
8926 Woodyard Road
Suite 701
Clinton, MD 20735
Phone
(301) 856-1682
Fax
(301) 856-0964
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0052474 MD
Orthopaedic Surgery Physician 207X00000X 0101231874 VA
Orthopaedic Surgery Physician 207X00000X MD30799 DC
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101231874 VA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X D0052474 MD Primary

Addresses

Primary practice location

8926 Woodyard Road
Suite 701
Clinton, MD 20735

Mailing address

8926 Woodyard Road
Suite 701
Clinton, MD 20735
Phone (301) 856-1682

Other identifiers 2

IdentifierTypeStateIssuer
P00109905OtherMEDICARE RAILROAD PTAN #
46950011OtherDCBCBS NCA PROVIDER#

Other names 1

  • Vestinia Madonna Polk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101209001153 MD Practitioner - Orthopedic Surgery 4688861107 Reassigns benefits to 2 organizations
I20110112000323 DC Practitioner - Orthopedic Surgery 4688861107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Howard University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone (301) 782-2220

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30799DCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Dec 3, 2013 Accepting new patients
Medstar Medical Group II LLC Orthopaedic Surgery CurrentSince Dec 3, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Medstar Georgetown Medical Center, Inc Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

13950 Brandywine Rd
Ste 225
Brandywine, MD 20613
Phone (301) 782-2220

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

8926 Woodyard Rd
Ste 701
Clinton, MD 20735

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

11325 Pembrooke Sq
Waldorf, MD 20603
Phone (301) 719-1146

11325 Pembrooke Sq
Ste 115
Waldorf, MD 20603
Phone (301) 719-1146

4240 Altamont Pl
Ste 103
White Plains, MD 20695
Phone (301) 638-5842

12825 Minnieville Rd
Ste 203
Woodbridge, VA 22192
Phone (730) 971-3701

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.

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1609808773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD ROAD",
            "address_2": "SUITE 701",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-856-1682",
            "fax_number": "301-856-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD ROAD",
            "address_2": "SUITE 701",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-856-1682",
            "fax_number": "301-856-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "VESTINIA",
        "middle_name": "MADONNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0052474",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101231874",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DC",
            "license": "MD30799",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101231874",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MD",
            "license": "D0052474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN #",
            "identifier": "P00109905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA PROVIDER#",
            "identifier": "46950011",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VESTINIA",
            "last_name": "POLK",
            "middle_name": "MADONNA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.