Dr Robert Loren Bridges, MD | |
1751 E. Gardner Way, Suite B, Wasilla, AK 99654 | |
(907) 357-1220 | |
(907) 357-1222 |
Full Name | Dr Robert Loren Bridges |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1751 E. Gardner Way, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366501876 | NPI | - | NPPES |
MDG1553 | Medicaid | AK | |
MDG1551 | Medicaid | AK | |
N2018 | Other | AK | BLUE CROSS BLUE SHIELD |
MDG1552 | Medicaid | AK | |
4098 | Other | AK | STATE OF AK MEDICAL LICEN |
MD5606 | Medicaid | AK | |
MDG155 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4098 (Alaska) | Primary |
2085N0904X | Radiology - Nuclear Radiology | 4098 (Alaska) | Secondary |
Entity Name | Rehabilitation Medicine Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831194562 PECOS PAC ID: 1456265578 Enrollment ID: O20031113000531 |
Entity Name | Anchorage Fracture And Orthopaedic Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285677054 PECOS PAC ID: 7517914187 Enrollment ID: O20050405001438 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Loren Bridges, MD P.o. Box 751, Girdwood, AK 99587 Ph: (907) 382-0952 | Dr Robert Loren Bridges, MD 1751 E. Gardner Way, Suite B, Wasilla, AK 99654 Ph: (907) 357-1220 |
John P Stella, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1751 Gardner Way, Suite B, Wasilla, AK 99654 Phone: 907-357-1220 Fax: 907-357-1222 |