MR. PETER MARK BRIDGE MD NPI 1245295609

NPI Information

  • NPI: 1245295609
  • Provider Name: MR. PETER MARK BRIDGE, MD
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 608 MEDICAL CARE DR
    BRANDON, FL
    ZIP 33511
  • Phone: (813) 684-2506

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NPI Details

MR. Peter Mark Bridge, MD is a plastic surgery in Brandon, FL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. MR. Peter Mark Bridge, MD NPI is 1245295609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

608 MEDICAL CARE DR
BRANDON, FL
ZIP 33511
Phone: (813) 684-2506
Fax: (813) 684-5785

The NPI 1245295609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)

The enumeration date for this NPI number is 4/19/2006 and was last updated on 6/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryME79084FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
135235YMEDICARE ID-TYPE UNSPECIFIED
2H14856MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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