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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY ALAN BRIDGHAM, MD

Active

JERRY ALAN BRIDGHAM, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in JACKSONVILLE, Florida. NPI 1740361336 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · JACKSONVILLE, FL

Registration Details

NPI Number
1740361336
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2006 (19.851265914753 yrs)
Last Updated
Nov 19, 2015
License
ME49397 (FL)

Practice Information

Address
14810 OLD SAINT AUGUSTINE RD STE 106
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL, 322582558
Browse FL providers · Browse ZIP 32258
Phone
9042687701
Fax
9042689708
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in JACKSONVILLE, FL

Name Credential NPI
DR. IRIS EISENBERG MD 1326046350
DR. ANNE T EGAN MD 1922091156
DR. WENDY V SAPOLSKY MD 1285627570
ROBERT F COLYER JR. MD 1649263922
DR. AMY WINTERBOTHAM HARDMAN MD 1629061932
DR. THOMAS J CONNOLLY MD05/25 1093708125
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.