# BRIDGES CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457998486
- **Authorized official:** DR. JAMES KEVIN BRIDGES MD (SOLE MEMBER)
- **Authorized official phone:** (769) 200-1600

## Contact information

- **Practice address:** 920 EBENEZER BLVD STE A, MADISON, MS 39110-6005
- **Practice address phone:** (769) 200-1600
- **Practice address fax:** (769) 200-1571
- **Mailing address:** 920 EBENEZER BLVD STE A, MADISON, MS 39110-6005
- **Mailing address phone:** (769) 200-1600
- **Mailing address fax:** (769) 200-1571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 05/26/2021