Bridgette Marie Seales, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

760 East Ave
Pensacola, FL 32508-5136

Phone

(850) 505-8970

Fax

(850) 505-6288

NPI assigned

Jul 16, 2013

Last updated

May 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1831530013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 EAST AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325085136",
            "telephone_number": "850-505-8970",
            "fax_number": "850-505-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 EAST AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325085136",
            "telephone_number": "850-505-8970",
            "fax_number": "850-505-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALES",
        "first_name": "BRIDGETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA.1141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Sculley, R.PH.
• SD Orthodontics, PA
• Seabarn Inc
• Seabreeze Endodontics Pensacola PA
• Savannah Elizabeth Seager, LCSW
• Octavia Seals, LCSW
• Meghan Dawn Sealy, ITDS
• Sean Oleary
• Tondalaio Sears, LMSW CASWCM
• Seaside Spine Pensacola LLC

• Medical Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.