| Jerry Alan Bridgham, MD | |
|
14810 Old Saint Augustine Rd Ste 106, Credentialing Department, Jacksonville, FL 32258-2558 | |
| (904) 268-7701 | |
| (904) 268-9708 |
| Full Name | Jerry Alan Bridgham |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 14810 Old Saint Augustine Rd Ste 106, Jacksonville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740361336 | NPI | - | NPPES |
| 3747107-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | ME49397 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Alan Bridgham, MD Po Box 44004, Jacksonville, FL 32231-4004 Ph: (904) 202-1032 | Jerry Alan Bridgham, MD 14810 Old Saint Augustine Rd Ste 106, Credentialing Department, Jacksonville, FL 32258-2558 Ph: (904) 268-7701 |
Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508 | |
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921 | |
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548 | |
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912 | |
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600 | |
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188 | |
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994 |