NPI 1366501876 · live from the CMS NPI Registry
Robert Loren Bridges, M.D.
Radiology, Diagnostic Radiology in Wasilla, AK. National Provider Identifier 1366501876, active.
NPI record
| NPI | 1366501876 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1751 E. Gardner Way, Suite B, Wasilla, AK 99654 |
| Practice phone | 907-357-1220 |
| Mailing address | P.O. Box 751, Girdwood, AK 99587 |
| Enumerated | December 8, 2006 |
| Last updated | October 21, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 4098 (AK) |
| 2085N0904X | 4098 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.