NPI 1336374909 · live from the CMS NPI Registry
Robert Stuart Bridge, M.D.
Internal Medicine, Gastroenterology in Federal Way, WA. National Provider Identifier 1336374909, active.
NPI record
| NPI | 1336374909 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 34503 9th Ave S, Ste 130, Federal Way, WA 98003 |
| Practice phone | 253-835-5340 |
| Mailing address | 6360 S 3000 E, Ste 220, Salt Lake City, UT 84121 |
| Enumerated | May 26, 2009 |
| Last updated | June 4, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD60630909 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.