Lawrence E Bridges, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005896 Issued in IL

Practice address

2 Emerald Ter
Ste B
Swansea, IL 62226-2317

Phone

(618) 234-8000

Fax

(618) 234-8092

NPI assigned

Jul 5, 2005

Sex

Male

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lawrence E. Bridges

  • Chiropractor
  • Swansea, IL
  • NPI 1063714707
  NPD (past) Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1881691913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EMERALD TER",
            "address_2": "STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262317",
            "telephone_number": "618-234-8000",
            "fax_number": "618-234-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMERALD TER",
            "address_2": "STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262317",
            "telephone_number": "618-234-8000",
            "fax_number": "618-234-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly A Braddock, PA-C
• Samantha Lynn Braden, AUD
• Bravo Care of Swansea Inc
• Breeze Hospice, LLC
• Janine Gullick Bridenbaugh, MS,CCC-SLP
• Bright Smiles
• Matthew Brigman
• Brigitta M. Brink, RN, MSN, CWOCN
• Abigail Brown
• Ashley Renee Brown, MSW, LCSW

• Chiropractor in Swansea, IL
• Providers in Swansea, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.