Provider Demographics
NPI:1245214410
Name:BRIDGES, WILLIAM ZACHERY JR (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ZACHERY
Last Name:BRIDGES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2493
Mailing Address - Country:US
Mailing Address - Phone:828-258-1586
Mailing Address - Fax:828-258-6161
Practice Address - Street 1:21 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2493
Practice Address - Country:US
Practice Address - Phone:828-255-8978
Practice Address - Fax:828-251-9150
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900435207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1202ROtherBCBS OF NC
NC891202RMedicaid
NCP00199932OtherPALMETTO GBA
NC1202ROtherBCBS OF NC
NC2273581BMedicare ID - Type Unspecified
NCG04031Medicare UPIN