Individual
DR. WILLIAM ROBERT BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1404 TUSCULUM BLVD STE 2100, GREENEVILLE, TN 37745-4329
(423) 783-5580
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25416
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515880
—
TN
01
—
4147907
BCBST
TN
05
—
8906251
—
NC
01
—
P00425828
RAILROAD MEDICARE
TN
Enumeration date
05/24/2006
Last updated
11/13/2023
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