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DR. ROBERT LOREN BRIDGES M.D. NPI 1366501876


NPI Information

NPI: 1366501876
Provider Name: DR. ROBERT LOREN BRIDGES, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1751 E. GARDNER WAY
SUITE B
WASILLA, AK
ZIP 99654
Phone: (907) 357-1220
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DR. Robert Loren Bridges, M.D. is a diagnostic radiology radiology in Wasilla, AK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Robert Loren Bridges, M.D. NPI is 1366501876. 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:

1751 E. GARDNER WAY
SUITE B
WASILLA, AK
ZIP 99654
Phone: (907) 357-1220
Fax: (907) 357-1222

The NPI 1366501876 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 enumeration date for this NPI number is 12/8/2006 and was last updated on 10/21/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear Radiology4098ALASKANo
22085R0202XRadiologyDiagnostic Radiology4098ALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MDG1552MEDICAIDALASKA
2A50036MEDICARE UPINALASKA
34098OTHERALASKASTATE OF AK MEDICAL LICEN
4N2018OTHERALASKABLUE CROSS BLUE SHIELD
5470001797MEDICARE ID-TYPE UNSPECIFIEDALASKAMEDICARE RAILROAD
6MDG1551MEDICAIDALASKA
7MD5606MEDICAIDALASKA
8MDG155MEDICAIDALASKA
9MDG1553MEDICAIDALASKA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.