Active NPI
Thomas Bridge, MD
- Family Medicine Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01027509A
- Practice address
- 1501 Hartford St Ste G525
Lafayette, IN 47904-2134 - Phone
- (765) 423-6224
- Fax
- (765) 423-6910
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01027509A | IN | Primary |
Addresses
Primary practice location
1501 Hartford St Ste G525
Lafayette, IN 47904-2134
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
3750 Landmark Dr
Suite A
Lafayette, IN 47905-6633
Phone (765) 448-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100053690 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thomas.bridgemd.p8@direct.ahni.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240624003854 | IN | Order and Referring Only - Hospice/Palliative Care | 4385779677 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027509A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- tbridge107161@direct.franciscanalliance.org
- thomas.bridgemd.p8@direct.ahni.nextgenshare.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Franciscan Hospice Care | Hospice | Contracted Managing Employee (100%) | Mar 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Franciscan Hospice Care
- Community Based Hospice Care Agency
- Lafayette, IN
- NPI 1336142785
Contracted Managing Employee
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Mulberry, IN
- NPI 1033220017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1932286481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HARTFORD ST STE G525",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042134",
"telephone_number": "765-423-6224",
"fax_number": "765-423-6910"
}
],
"practiceLocations": [
{
"address_1": "3750 Landmark Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479056633",
"country_code": "US",
"telephone_number": "765-448-4511",
"fax_number": "765-447-8375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIDGE",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01027509A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100053690",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thomas.bridgemd.p8@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3750 Landmark Dr",
"address_2": "Suite A",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479056633",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.