Individual
JONATHAN MARK BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
513 BROOKWOOD BLVD STE 275, BIRMINGHAM, AL 35209-6806
(205) 502-4700
(877) 353-3589
Mailing address
PO BOX 131329, BIRMINGHAM, AL 35213-6329
(205) 502-4700
(877) 353-3589
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
26776
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598979973
—
AL
01
—
510-12242
BLUECROSS BLUESHIELD (BIRMINGHAM)
AL
01
—
510-12252
BLUECROSS BLUESHIELD (SYLACAUGA)
AL
Enumeration date
05/09/2007
Last updated
05/04/2026
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