SHELBY LEE BRIDGETT DO
NPI 1104402189
Family Medicine in Charlotte, NC

Q: What is Shelby Bridgett's NPI number?

The NPI number for Shelby Bridgett is 1104402189. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Shelby Bridgett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Bridgett was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment

136 E 36TH ST STE 200, CHARLOTTE, NC 28206(704) 801-3401 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Mar 23, 2021 (2 updates tracked since 2021).

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About Shelby Lee Bridgett Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY LEE BRIDGETT DO (NPI 1104402189) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2024-00454) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Ohio University, College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1104402189

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHELBY LEE BRIDGETTCredential: DO

Location Address136 E 36TH ST STE 200Charlotte, NC 28206-2018

Mailing Address136 E 36th St Ste 200Charlotte, NC 28206-2018 · (704) 801-3401 · Fax (704) 801-3401

Phone(704) 801-3401

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1104402189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2024-00454

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

136 E 36TH ST STE 200, Charlotte, NC 28206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Lee Bridgett Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800296005

PECOS Enrollment IDI20240821002353

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SAVANNAH RAE TAYLOR PA-C

Physician Assistant

136 E 36TH ST STE 200
CHARLOTTE, NC 28206

Mecklenburg County (704) 801-3400

MALLORY ANNE JEFFERS

Nurse Practitioner

136 E 36TH ST STE 200
CHARLOTTE, NC 28206

Mecklenburg County (704) 801-3400

DR. GUILHERME LOUBACK CORRAL DO

Family Medicine

136 E 36TH ST STE 200
CHARLOTTE, NC 28206

Mecklenburg County (704) 801-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Bridgett's NPI number?

The NPI number for Shelby Bridgett is 1104402189. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Shelby Bridgett located?

Shelby Bridgett practices at 136 E 36th St Ste 200, Charlotte, NC 28206. The listed phone number is (704) 801-3401.

What is Shelby Bridgett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelby Bridgett enrolled in Medicare?

Yes. Shelby Bridgett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelby Bridgett accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Shelby Bridgett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Bridgett affiliated with any hospitals?

According to CMS data, Shelby Bridgett is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Shelby Bridgett was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.