Sanjay Bridgelall, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME154471 Issued in FL

Practice address

2001 Webber St
Sarasota, FL 34239-5237

Phone

(941) 362-8900

NPI assigned

Apr 13, 2018

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Pathology

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Pathology Associates IncGroup PAC ID 0143749291, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Precision Pathology Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1346044161
  Medicare reassignment Care Compare group NPD
• Precision Pathology Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1225823495
  NPD (past)
• Precision Pathology Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1417742685
  NPD (past)
• Precision Pathology Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Cape Coral, FL
  • NPI 1548055650
  NPD (past)

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

• Lee Health System Inc

  dba Gulf Coast Medical Center

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1912494154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WEBBER ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395237",
            "telephone_number": "941-362-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WEBBER ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395237",
            "telephone_number": "941-362-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393509",
            "country_code": "US",
            "telephone_number": "941-362-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Laurel Rd E Rm V2",
            "address_purpose": "LOCATION",
            "city": "Nokomis",
            "state": "FL",
            "postal_code": "342753226",
            "country_code": "US",
            "telephone_number": "941-362-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGELALL",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME154471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Brewer, D.M.D.
• Zachary Seth Brewer, M.D.
• Jeffrey A. Brex
• Liliana Alexandra Briceno
• Pedro Jose Briceno, M.D.
• Bridget J Keller MD LLC
• Rebecca Briggs
• Bright Day Home Healthcare
• Adam S. Bright, M.D.
• Rose Bright

• Anatomic Pathology & Clinical Pathology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
• 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.