Derrick Bridges is a Specialist in Renton, Washington. Derrick Bridges practices all healthcare services and medical treatments related to Specialist. The NPI Number for Derrick Bridges is 1144435256. The last update date is 2007-07-08.
Derrick Bridges's current location address is 10622 Se Carr Rd, Renton, Washington. You can contact this provider via phone number 4252772225 and fax number 4252771591. The mailing address for Derrick Bridges is 10622 Se Carr Rd, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Bridges |
|---|---|
| Address | 10622 Se Carr Rd, Renton, Washington |
| Phone Number | 4252772225 |
| Fax Number | 4252771591 |
| Sole Proprietor | N |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1144435256 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10622 Se Carr Rd |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980555824 |
| Phone Number | 4252772225 |
| Fax Number | 4252771591 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00020141 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 191632 | WA | L&I |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Derrick Bridges by the Centers for Medicare & Medicaid Services?
The Derrick Bridges has been issued the NPI (National Provider Identifier) 1144435256 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Derrick Bridges's physical address?
The Derrick Bridges is physically located at 10622 Se Carr Rd, in the city of Renton, WA, with the postal code 980555824.
What is the Derrick Bridges's area of specialization and corresponding taxonomy classification?
The Derrick Bridges's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Derrick Bridges's 1144435256 issued?
The Derrick Bridges's 1144435256 was issued on 2007-05-11.
As of what date were the details related to Derrick Bridges most recently updated or revised?
The information pertaining to Derrick Bridges, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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