Provider Demographics
NPI:1124548383
Name:BRIDGES, PATRICK CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:CHRISTOPHER
Last Name:BRIDGES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 COMMON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2401
Mailing Address - Country:US
Mailing Address - Phone:504-258-9198
Mailing Address - Fax:
Practice Address - Street 1:205 MAPLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-6144
Practice Address - Country:US
Practice Address - Phone:504-221-8171
Practice Address - Fax:614-625-1535
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist