Provider Demographics
NPI:1285665588
Name:BRIDGES, ROBERT R III (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:BRIDGES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 416
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-223-3006
Practice Address - Fax:202-466-2209
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2018-10-01
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Provider Licenses
StateLicense IDTaxonomies
DCMD14304207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC640157Medicare PIN
E65895Medicare UPIN