ROBERTA JEAN BRIDGE RN
NPI 1215650825
Registered Nurse - Gastroenterology in Detroit, MI

Q: What is Roberta Bridge's NPI number?

The NPI number for Roberta Bridge is 1215650825. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Q: What is Roberta Bridge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gastroenterology, with taxonomy code 163WG0100X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Bridge was last updated on September 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2022

4646 JOHN R ST, DETROIT, MI 48201(313) 576-3389 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Roberta Jean Bridge Rn NPPES

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

ROBERTA JEAN BRIDGE RN (NPI 1215650825) is an individual gastroenterology provider in Detroit, Michigan, licensed in Michigan (4704186847) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1215650825

Entity TypeIndividualFemale

Primary Taxonomy163WG0100X

Provider Legal NameROBERTA JEAN BRIDGECredential: RN

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-3389

Phone(313) 576-3389

Sole ProprietorNo

Enumeration DateSeptember 20, 2022

NPPES CertifiedSeptember 20, 2022

✔ NPI 1215650825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · GastroenterologyNursing Service Providers

Taxonomy Code163WG0100X

License✔ Licensed in MI · 4704186847

4646 JOHN R ST, Detroit, MI 48201

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Other Providers at the Same Location NPPES 20

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

JULIA SWITZER PA

Physician Assistant

4646 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 576-3319

DR. NEERAJA RAMACHANDRA M.D.

Internal Medicine

4646 JOHN R ST, VAMC
DETROIT, MI 48201

Wayne County (313) 576-4693

BABYSAROJINI CHIRUMAMILLA M.D

Psychiatry & Neurology (Geriatric Psychiatry)

4646 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 576-1000

MS. KATHLEEN MARY COBB APRN, BC

Nurse Practitioner (Family)

4646 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 576-1000

DR. PRAVEENA MUNGARA M.D

Internal Medicine

4646 JOHN R ST, JOHN D DINGELL VA MEDICAL CENTER
DETROIT, MI 48201

Wayne County (313) 576-1000

MRS. JANE RUSSELL DEAN MSN,NP

Nurse Practitioner

4646 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 576-3966

SHIVA S RAU MD

Internal Medicine

4646 JOHN R ST, 11PC, PRIMARY CARE,JOHN D. DINGELL VA MEDICAL CENTER,
DETROIT, MI 48201

Wayne County (313) 576-1000

DR. BARBARA JEAN SIEPIERSKI MD

Internal Medicine (Geriatric Medicine)

4646 JOHN R ST, 11G
DETROIT, MI 48201

Wayne County (313) 576-1000

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 Roberta Bridge's NPI number?

The NPI number for Roberta Bridge is 1215650825. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Roberta Bridge located?

Roberta Bridge practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-3389.

What is Roberta Bridge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gastroenterology, with taxonomy code 163WG0100X.

When was this NPI record last updated?

The NPPES record for Roberta Bridge was last updated on September 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.