Bridget Sage Kenny, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MK0853653 Issued in MI

Practice address

7775 Angling Rd
Portage, MI 49024-7427

Phone

(269) 321-7546

Fax

(269) 321-1705

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bridget Rose Sage Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952349862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 ANGLING RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247427",
            "telephone_number": "269-321-7546",
            "fax_number": "269-321-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 ANGLING RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247427",
            "telephone_number": "269-321-7546",
            "fax_number": "269-321-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "BRIDGET",
        "middle_name": "SAGE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "MK0853653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "SAGE",
            "middle_name": "ROSE",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carla Jean Kelly, LPC, LLPC
• Kevin James Kelly, MD
• Christina M Kemple
• Cynthia R Kemple, OT
• Kennedy Consultation & Wellness
• Jessica A Kerby, PHD
• Keszei Vision Care, PLC
• Vincent Andrew Keszei, M.D.
• Joshua Kettlewell, PT, DPT
• Kevin J. Kelly MD, PC

• Medical Physician Assistant in Portage, MI
• Providers in Portage, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.