Tamisha L Bridgeforth, RDA & DLT

Primary specialty

Dental Laboratory TechnicianTaxonomy code 126900000X

Practice address

1768 Pendleton St Apt 3
Memphis, TN 38114-7803

Phone

(901) 828-0784

NPI assigned

Feb 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tamisha L Bridgeforth Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1679379655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 PENDLETON ST APT 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381147803",
            "telephone_number": "901-828-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 PENDLETON ST APT 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381147803",
            "telephone_number": "901-828-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEFORTH",
        "first_name": "TAMISHA",
        "middle_name": "L",
        "credential": "RDA & DLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Laboratory Technician",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMISHA",
            "last_name": "BRIDGEFORTH",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Robert Brezina, M.D.
• Taylor Leigh Brezinka, PA
• Mario E. Briceno-Medina, M.D
• Bridge of Hope Healthcare Group PLLC
• Larson Rhea Bridge, PHARMD
• Bridges for L.I.F.E. Inc
• Baylee Brooke Bridges
• Jacqueline Bridges
• James O. Bridges, PA-C
• Rachel M Bridges, PHD

• Dental Laboratory Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Laboratory Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.