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NPI Code Detail

MEDICARE: DR. ERIC W. BRIDGES M.D.

MEDICARE: DR. ERIC W. BRIDGES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician13776MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
373071276OTHERBLUE CROSS OF AL

General Provider Information

NPI Number : 1043210024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC W. BRIDGES M.D.
Provider Business Mailing Address
First Line : 1800 12TH ST STE A
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4158
Country : US
Telephone Number : 601-703-9592
Fax Number : 601-703-4316
Provider Business Practice Location Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-815-9528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 12/23/2025

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