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
Phone: (205) 502-4700
Fax: (205) 502-5183
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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