Donna Maria Bridge, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME78627 Issued in FL

Practice address

608 Medical Care Dr
Brandon, FL 33511

Phone

(813) 684-2506

Fax

(813) 684-5785

NPI assigned

Mar 31, 2006

Last updated

Jun 27, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donna M. Bridge MD PA

  dba Bridge Breast and Aesthetic Surgery Center

  • Surgery Physician
  • Brandon, FL
  • NPI 1417145921
  Authorized official Same address or phone

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1851352314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MEDICAL CARE DR",
            "address_2": "BLDG 7 SUITE 601",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115937",
            "telephone_number": "813-684-2506",
            "fax_number": "813-684-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MEDICAL CARE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-684-2506",
            "fax_number": "813-684-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "DONNA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Brewington
• Donita Brezovar, ARNP
• Alicia Brick
• George Orman Brick, MD
• Sarah Brickner
• Peter Mark Bridge, MD
• Cassandra Bridges
• Farrah Mahmood Briggs
• Michelle Briggs, RN/LMT
• Bright Psyche Psychological Services, LLC (Bright Psyche Psychology)

• Surgery Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.

Verify at the official NPI Registry.