Individual
DR. VESTINIA MADONNA BRIDGES
Active
Individual
DR. VESTINIA MADONNA BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101231874
VA
207X00000X
Orthopaedic Surgery Physician
D0052474
MD
207X00000X
Orthopaedic Surgery Physician
MD30799
DC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0101231874
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0052474
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46950011
BCBS NCA PROVIDER#
DC
01
—
P00109905
MEDICARE RAILROAD PTAN #
—
Enumeration date
07/07/2006
Last updated
01/28/2013
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