ROBERT BRIDGE (NPI# 1073621132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073621132 |
| Entity Type | Individual |
| Full Name | ROBERT BRIDGE |
| Credential | MD |
| Practice Address |
1524 Garden Valley Dr Glencoe MO 63038-1489 |
| Practice Telephone | 6362734418 |
| Mailing Telephone | 6362734418 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD101261 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568565844 | Robert Edward Bridge Jr. | Chiropractor | 13762 Colorado Blvd, Unit 122, Thornton, CO 80602-6919 | 2006-09-05 |
| 1700882990 | Robert S Bridge | Specialist | 19636 N 27th Ave Ste 206, Phoenix, AZ 85027 | 2005-06-22 |
| 1336374909 | Robert Stuart Bridge Jr. | Internal Medicine | 34503 9th Ave S, Ste 130, Federal Way, WA 98003-8727 | 2009-05-26 |
| Street Address |
1524 GARDEN VALLEY DR |
| City | GLENCOE |
| State | MO |
| Zip Code | 63038-1489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508188046 | Kelly Lynn Wittenauer | Speech-Language Pathologist | 17770 Mueller Rd., Wildwood, MO 63038 | 2010-02-25 |
| 1982041927 | Joseph Kamper | Hearing Instrument Specialist | 18741 Babler Meadows Dr, Glencoe, MO 63038-1154 | 2013-05-31 |
| 1689084972 | Michael L Masucci Dc LLC | Chiropractor | 2124 Babler Ridge Ln, Wildwood, MO 63038-1178 | 2014-05-07 |
| 1750782587 | Kathleen M Cabiedes | Registered Nurse | 19318 Jaeger Farms Rd, Wildwood, MO 63038-1181 | 2014-09-11 |
| 1265905178 | Docks Inc | Non-emergency Medical Transport (VAN) | 1850 Pond Rd, Wildwood, MO 63038-1335 | 2019-01-03 |
| 1831552728 | Lorie Campbell | Nurse Practitioner | 17204 Lafayette Trails Dr, Wildwood, MO 63038-1386 | 2016-03-30 |
| 1154652683 | Deborah Allen Beffa | Speech-Language Pathologist | 17207 Windsor Crest Blvd, Wildwood, MO 63038-1396 | 2010-01-22 |
| 1518267749 | Sacred Heart Home Health/medical Supply Services | Case Management | 17656 Gardenview Manor Cir, Wildwood, MO 63038-1496 | 2010-10-21 |
| 1922125004 | Robert E Cuddihee Jr. | Specialist | 18000 Indian Tree Run, Glencoe, MO 63038-1576 | 2007-03-23 |
| 1710113881 | Nephrology Consultants, Inc. | Specialist | 18000 Indian Tree Run, Glencoe, MO 63038-1576 | 2009-06-03 |
| Find all providers in zip 63038 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
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| 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.