Individual provider Active NPI

Daniel A Bridges, M.D.

  • Urology Physician
  • Thomaston, GA
National Provider Identifier
1871507996
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
041269 Issued in GA
Practice address
915 W Gordon St
Thomaston, GA 30286-3427
Phone
(706) 647-9412
Fax
(706) 646-3753
NPI assigned
Jul 27, 2006
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 041269 GA Primary

Addresses

Primary practice location

915 W Gordon St
Thomaston, GA 30286-3427

Mailing address

PO Box 589
Thomaston, GA 30286-0008
Phone (706) 647-9412

Other identifiers 1

IdentifierTypeStateIssuer
00706505CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20110414000232 GA Practitioner - Urology 4981888054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upson Surgical Associates, LLCGroup PAC ID 2062690480, 18 clinicians

Practice addresses (Care Compare)

612 W Gordon St
Suite B
Thomaston, GA 30286-3480
Phone (706) 648-3368

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upson County Hospital Inc Current Accepting new patients
Upson Surgical Associates, LLC CurrentSince Sep 15, 2014 Accepting new patients
Upson Family Physicians, LC PastSince Jan 22, 2023 Accepting new patients
Daniel a Bridges MD PC Urology PastSince Jul 15, 2001 Accepting new patients

Locations

612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433

612 W Gordon St
Ste E
Thomaston, GA 30286
Phone (706) 647-3030

915 W Gordon St
Thomaston, GA 30286
Phone (706) 647-7009

915 W Gordon St
#A
Thomaston, GA 30286
Phone (706) 647-9412

Interoperability endpoints

  • Direct secure messaging: daniel.bridges@urmc.gadirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1871507996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302860008",
            "telephone_number": "706-647-9412",
            "fax_number": "706-646-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863427",
            "telephone_number": "706-647-9412",
            "fax_number": "706-646-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "041269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00706505C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.