Provider Demographics
NPI:1093722985
Name:BELLINGAR, BRIDGET ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:ANN
Last Name:BELLINGAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 PARK ST. N.
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777
Mailing Address - Country:US
Mailing Address - Phone:727-397-1559
Mailing Address - Fax:727-391-0838
Practice Address - Street 1:7101 PARK ST. N.
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777
Practice Address - Country:US
Practice Address - Phone:727-397-1559
Practice Address - Fax:727-391-0838
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLOS0005244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82949OtherBLUECROSS BLUESHIELD
D27407Medicare UPIN
FLK1823Medicare PIN
FLDA3097Medicare PIN