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NPI Code Detail

MEDICARE: DR. ANN BRIDGES BRUCE MD

MEDICARE: DR. ANN BRIDGES BRUCE MD
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
12084P0800XPsychiatry PhysicianMD00032456WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2910875163-48OTHERWAKPS ID#
35163BROTHERWAREGENCE RIDER#

General Provider Information

NPI Number : 1225143670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN BRIDGES BRUCE MD
Provider Business Mailing Address
First Line : PO BOX 960
Second Line :
City : BREMERTON
State : WA
Zip : 98337-0212
Country : US
Telephone Number : 360-475-6728
Fax Number :
Provider Business Practice Location Address
First Line : 320 S KITSAP BLVD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3778
Country : US
Telephone Number : 360-377-3776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/18/2017

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Directions to “ DR. ANN BRIDGES BRUCE MD” Practice Location

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