Individual provider Active NPI

Thomas Bridge, MD

  • Family Medicine Physician
  • Lafayette, IN
National Provider Identifier
1932286481
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01027509A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100053690MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624003854 IN Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 4385779677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01027509AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tbridge107161@direct.franciscanalliance.org
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Franciscan Hospice CareLafayette, IN, CCN 151563 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.

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.

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

Verify at the official NPI Registry.