Bridges, Kenneth G

Bridges, Kenneth G is an sole proprietor health care provider with primary practice located at 8513 S Federal Hwy , Port St Lucie FL 34952-3346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bridges, Kenneth G can be contacted via phone (772) 461-7500.

Contact Information

Primary practice address
8513 S Federal Hwy Port St Lucie FL 34952-3346
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME69634 Florida

Profile Details

NPI number 1437144870
LBN Legal business name Bridges, Kenneth G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Aug 20th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437144870 NPPES
Florida Other P00738042 RAILROAD MEDICARE
Florida MEDICAID 262035900 RAILROAD MEDICARE

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