Individual provider Active NPI

Kristen Leigh Bridges, M.D.

  • Surgery Physician
  • Meridian, ID
National Provider Identifier
1649565748
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
471741 Issued in ID
Practice address
520 S Eagle Rd
Meridian, ID 83642-6351
Phone
(208) 381-6930
Fax
(208) 381-6931
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA10194200 NJ
Surgery Physician 208600000X 471741 ID Primary

Addresses

Primary practice location

520 S Eagle Rd
Meridian, ID 83642-6351

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

450 Clarkson Avenue
SUNY Downstate
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Other practice location 2

714 10th St
Secaucus, NJ 07094-2921
Phone (201) 441-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20181226000294 NJ Practitioner - General Surgery 6305181181 Reassigns benefits to 1 organization
I20200522001465 NY Practitioner - General Surgery 6305181181 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Area Hospital IncGroup PAC ID 9931010485, shared by 16 NPIs, 119 clinicians

Practice addresses (Care Compare)

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

Hospital & facility affiliations

  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
471741IDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Jan 1, 2019 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Dec 25, 2023 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jan 1, 2019 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jun 21, 2024 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Sep 20, 2023 Accepting new patients
Amboy Medical Practice PC CurrentSince Apr 20, 2020 Accepting new patients
TBHC Physician Services PC Surgery CurrentSince Sep 1, 2022 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Jun 21, 2024 Accepting new patients
Amboy Medical Practice PC Surgery CurrentSince Apr 20, 2020 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Carthage Area Hospital Inc. Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 713-5660

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

800 Castleton Ave
Staten Island, NY 10310
Phone (718) 354-3344

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Interoperability endpoints

  • Direct secure messaging: kbridges@cahclinics.medentdirect.com
  • Direct secure messaging: kbridges19174@prd.direct.tbh.org

Organizations & group practices 12

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 2

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1649565748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-381-6930",
            "fax_number": "208-381-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Avenue",
            "address_2": "SUNY Downstate",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 10th St",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942921",
            "country_code": "US",
            "telephone_number": "201-441-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10194200",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "471741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.