Provider Demographics
NPI:1568448967
Name:BRIDGES, CLAUDE SCHOFIELD III (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:SCHOFIELD
Last Name:BRIDGES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 298
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-0298
Mailing Address - Country:US
Mailing Address - Phone:256-767-7494
Mailing Address - Fax:256-765-0377
Practice Address - Street 1:30320 AL HIGHWAY 53 STE BANDC
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:AL
Practice Address - Zip Code:35739-8766
Practice Address - Country:US
Practice Address - Phone:256-423-4800
Practice Address - Fax:256-426-2131
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2020-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL14517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009937803Medicaid
AL631053058025OtherTRICARE
4645225OtherAETNA
AL51534965OtherBCBS