Active NPI
Kristen Leigh Bridges, M.D.
- Surgery Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 471741
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
Practice addresses (Care Compare)
1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000
Hospital & facility affiliations
- Carthage Area Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 471741 | ID | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Be Well Primary Health Care Center, LLC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Goldstep Ambulatory Surgery Center, LLC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| TBHC Physician Services PC | Surgery | Current | Accepting new patients |
| Carthage Area Hospital, Inc. | Current | Accepting new patients | |
| Amboy Medical Practice PC | Surgery | Current | 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
- kbridges@cahclinics.medentdirect.com
- 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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1689059222
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
-
- Primary Care Clinic/Center
- Harrisville, NY
- NPI 1578774451
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.