Kenneth Alan Bridgmon, | |
1000 Oakland Dr, Kalamazoo, MI 49008-1282 | |
(269) 337-4600 | |
Not Available |
Full Name | Kenneth Alan Bridgmon |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1000 Oakland Dr, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932787231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101027468 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 5101021786 (Michigan) | Secondary |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
Mailing Address | Practice Location Address |
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Kenneth Alan Bridgmon, 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: () - | Kenneth Alan Bridgmon, 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4600 |
Nicole Catherine Carpp, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 | |
Dr. Brannon Charles Duncan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008 Phone: 269-343-3900 Fax: 269-343-5640 | |
Abigail Munro Harrelson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 | |
Dr. Charles Moore, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048 Phone: 269-226-6933 Fax: 269-226-6949 | |
Dr. Jonathan Ross Dadurian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall, Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 | |
Jason Andrew Garner, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6600 Fax: 269-337-6475 | |
Nicholas Dyga, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007 Phone: 269-343-3900 |