Individual
DR. BRIDGET BERG HITTEPOLE
Active
Individual
DR. BRIDGET BERG HITTEPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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