Healthcare Provider Details

I. General information

NPI: 1275453953
Provider Name (Legal Business Name): DOCBRIDGES MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8513 S US HIGHWAY 1
PORT SAINT LUCIE FL
34952-3346
US

IV. Provider business mailing address

8513 S US HIGHWAY 1
PORT SAINT LUCIE FL
34952-3346
US

V. Phone/Fax

Practice location:
  • Phone: 772-461-7500
  • Fax:
Mailing address:
  • Phone: 772-461-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KENNETH GREGORY BRIDGGES SR.
Title or Position: OWNER
Credential: MD
Phone: 772-461-7500