Provider Demographics
NPI:1790044238
Name:CHRISTOPHER, BRIDGETTE ANN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BRIDGETTE
Middle Name:ANN
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:BRIDGETTE
Other - Middle Name:ANN
Other - Last Name:ROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2301 ERWIN RD # DUMC3845
Mailing Address - Street 2:DUKE UNIVERSITY HOSPITAL
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710
Mailing Address - Country:US
Mailing Address - Phone:919-684-1111
Mailing Address - Fax:
Practice Address - Street 1:3200 NORTHLINE AVE STE 250
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7619
Practice Address - Country:US
Practice Address - Phone:336-938-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-01960207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1790044238Medicaid