Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNE MARIE BRIDEGROOM, PA
ActiveANNE MARIE BRIDEGROOM, PA is a Medical Physician Assistant healthcare provider located in FLORISSANT, Missouri. NPI 1811262694 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FLORISSANT, MO
Registration Details
- NPI Number
- 1811262694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2012 (14.423582433312 yrs)
- Last Updated
- Feb 9, 2026
- Licenses
-
2021004987 (MO)085009102 (IL)
Practice Information
- Address
-
261 DUNN RDFLORISSANT, MO, 630317928Browse MO providers · Browse ZIP 63031
- Phone
- 3148302600
- Fax
- 3148302648
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
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.