Alisa J Bridge, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2002027884 Issued in MO

Practice address

737 E Crawford St
Salina, KS 67401-5103

Phone

(785) 827-7261

NPI assigned

Oct 4, 2005

Last updated

Mar 25, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KS, TX2 enrollments

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 2

Specialty

Pediatric Medicine

Education

University of Wisconsin School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Kansas School of Medicine Wichita Medical Practice Assoc

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1639143712

  Pediatrics

  Medicare reassignment NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment
• Wesley Pathology Consultants PA

  • Clinical Pathology/Laboratory Medicine Physician
  • Wichita, KS
  • NPI 1770568263
  NPD
• Salina Clinic L.L.C.

  • Multi-Specialty Clinic/Center
  • Salina, KS
  • NPI 1053305136
  NPD (past)
• Wesley Medical Center LLC

  dba Wesley Medical Center

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  NPD (past)
• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1952398042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "ALISA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2002027884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Bradley, MS CCC-SLP
• Abigail Lauren Brake, PTA
• Stacia Brenneman, P.T.
• Laura L Bretz, LPC
• Brian E Conner MD Chartered
• Rayeann Marie Brisso, LMSW, LMAC
• Timothy S Broaderway, PHARMD
• Lea Carina Bronson
• Brookdale Senior Living Communities, Inc. (Brookdale Salina Kirwin)
• Brookdale Senior Living Communities, Inc. (Brookdale Salina Fairdale)

• Pediatrics Physician in Salina, KS
• Providers in Salina, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.