Bridge, Stephen S

Bridge, Stephen S is an individual health care provider with primary practice located at 4060 4Th Ave Suite 310, San Diego CA 92103-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bridge, Stephen S can be contacted via phone (619) 297-4707.

Contact Information

Primary practice address
4060 4Th Ave Suite 310 San Diego CA 92103-2116
Fax: (858) 429-7927
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A44719 California

Profile Details

NPI number 1922034891
LBN Legal business name Bridge, Stephen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922034891 NPPES
California Other DQ461Y MEDICARE PTAN FOR GHP

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