Bridges, Jonathan Mark

Bridges, Jonathan Mark is an individual health care provider with primary practice located at 513 Brookwood Blvd Suite 275, Birmingham AL 35209-6862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bridges, Jonathan Mark can be contacted via phone (205) 502-4700.

Contact Information

Primary practice address
513 Brookwood Blvd Suite 275 Birmingham AL 35209-6862
Fax: (205) 502-5183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 26776 Alabama

Profile Details

NPI number 1598979973
LBN Legal business name Bridges, Jonathan Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Feb 10th, 2015 - about 9 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 1598979973 NPPES
Alabama Other 510-12252 BLUECROSS BLUESHIELD (SYLACAUGA)
Alabama MEDICAID 1598979973 BLUECROSS BLUESHIELD (SYLACAUGA)
Alabama Other 510-12242 BLUECROSS BLUESHIELD (SYLACAUGA)

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