ANDREW J BRIDGE (NPI# 1033642244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033642244 |
| Entity Type | Individual |
| Full Name | ANDREW J BRIDGE |
| Credential | MD |
| Practice Address |
849 Kellogg Ave Janesville WI 53546-2808 |
| Practice Telephone | 6087557960 |
| Practice Fax Number | 6087557873 |
| Mailing Telephone | 6087557960 |
| Mailing Fax Number | 6087557873 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 67983 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 6585-851 | WI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174780837 | Andrew T Bridge | Dermatology | 9002 N Meridian Street, Suite 214, Indianapolis, IN 46260-5350 | 2008-05-20 |
| Street Address |
849 KELLOGG AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164407326 | James Glenn Horton | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2005-12-09 |
| 1972112779 | Abraham Cho | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2020-07-28 |
| 1760091573 | Reshma R Nair | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2020-07-28 |
| 1356950190 | Daniel D Vaz | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2020-07-28 |
| 1871102699 | Reem Sanadiki | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2020-07-28 |
| 1902415706 | Vera Boateng | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2020-07-28 |
| 1821607631 | Krystal Romero Valentin | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2020-07-28 |
| 1578172375 | Victoria Akselrod | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2020-07-28 |
| 1205483781 | Karl S Demarco | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2019-08-20 |
| 1356998843 | Shelby M Nykiel | Student in an Organized Health Care Education/Training Program | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407999337 | Beloit Health System, Inc | Family Medicine | 1321 Creston Park Dr, Janesville, WI 53545-1126 | 2007-02-14 |
| 1770507881 | Geoffrey L Smith | Family Medicine | 2901 N Wright Road, Janesville, WI 53546 | 2006-07-26 |
| 1922085083 | Craig Michelsen | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2005-12-29 |
| 1164407326 | James Glenn Horton | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2005-12-09 |
| 1841777802 | Navjot K. Sekhon | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-07-23 |
| 1053809285 | Benjamin R. Banks | Family Medicine | 3200 E Racine St, Janesville, WI 53546-2343 | 2018-04-24 |
| 1588152714 | Jason R. Moen | Family Medicine | 3200 E Racine St, Janesville, WI 53546-2343 | 2018-04-24 |
| 1053809343 | Marsha M. Landvatter | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-04-23 |
| 1649768938 | Jacob A. Landvatter | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-04-23 |
| 1952807398 | Nora Dahbur | Family Medicine | 849 Kellogg Ave, Janesville, WI 53546-2808 | 2018-04-04 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
Please comment or provide details below to improve the information on ANDREW J BRIDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.