Individual
DR. DAVID KEITH BRIDGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7430 COLLEGE ST, IRMO, SC 29063-2903
(839) 200-7810
(803) 891-7085
Mailing address
7430 COLLEGE ST, IRMO, SC 29063-2903
(839) 200-7810
(803) 891-7085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23276
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110239720
RAILROAD MEDICARE
SC
05
—
232769
—
SC
01
—
P00889612
MEDICARE RAIL ROAD
SC
Enumeration date
08/17/2005
Last updated
01/18/2022
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