Individual
DR. BRIDGET BERG HITTEPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST SUITE 370, LOUISVILLE, KY 40202-2040
(502) 813-6800
(502) 562-6515
Mailing address
501 E BROADWAY STE 290, LOUISVILLE, KY 40202-2040
(502) 217-8221
(502) 217-5056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42853
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000635639
ANTHEM
KY
05
—
200957520
—
IN
01
—
3744367000
PASSPORT ADVANTAGE
KY
01
—
50026160
PASSPORT
KY
05
—
7100085790
—
KY
Enumeration date
02/26/2007
Last updated
03/24/2010
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