Active NPI
Bridget M Clark, NP-C
- Family Nurse Practitioner
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 220984
- Practice address
- 3330 Masonic Dr
Alexandria, LA 71301-3841 - Phone
- (318) 487-1122
- NPI assigned
- Dec 11, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 220984 | LA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 220984 | LA |
Addresses
Primary practice location
3330 Masonic Dr
Alexandria, LA 71301-3841
Mailing address
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122
Other practice location 1
2108 Texas Ave
Alexandria, LA 71301-3944
Phone (318) 442-2232
Other practice location 2
2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone (318) 466-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220984 | LA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Cenla Family Medicine Associates, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823
4242 Highway 1192
Ofc
Marksville, LA 71351
Phone (318) 445-9823
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEDCAA
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Alexandria, LA
- NPI 1538397542
Nurse Practitioner
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1760141352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841",
"telephone_number": "318-487-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013841",
"telephone_number": "318-487-1122"
}
],
"practiceLocations": [
{
"address_1": "2108 Texas Ave",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713013944",
"country_code": "US",
"telephone_number": "318-442-2232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2495 Shreveport Hwy",
"address_purpose": "LOCATION",
"city": "Pineville",
"state": "LA",
"postal_code": "713604044",
"country_code": "US",
"telephone_number": "318-466-2929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "BRIDGET",
"middle_name": "M",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-11",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "220984",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "LA",
"license": "220984",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.