Provider Demographics
NPI:1619317963
Name:BRIDGES, KIMBERLY DOFFING (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DOFFING
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3686 GRANDVIEW PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-3509
Mailing Address - Country:US
Mailing Address - Phone:205-802-2000
Mailing Address - Fax:205-802-2049
Practice Address - Street 1:3686 GRANDVIEW PKWY STE 500
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-3509
Practice Address - Country:US
Practice Address - Phone:205-802-2000
Practice Address - Fax:205-802-2049
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-2648207R00000X
AL38091207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine