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BRIAN D RIDGELY PA
NPI 1326062977
Physician Assistant in Port St Lucie, FL

Active since July 27, 2006
1651 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(772) 398-1800(772) 398-1815 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian D Ridgely Pa NPPES

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

BRIAN D RIDGELY PA (NPI 1326062977) is an individual physician assistant in Port St Lucie, Florida, licensed in Florida (PA3524) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1326062977
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN D RIDGELYCredential: PA
Location Address1651 SE TIFFANY AVEPort St Lucie, FL 34952-7564
Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-5665 · Fax (772) 223-5646
Phone(772) 398-1800
Fax(772) 398-1815
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 15, 2010
✔ NPI 1326062977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA3524
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1651 SE TIFFANY AVE, Port St Lucie, FL 34952
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Other Identifiers 3

Medicare UPINS55018FL
Medicare UPINE0675FL
Medicaid290394600FL

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.

EDWIN BENEDICT FLANAGAN D.O.
Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
CELSO E PINEIRO M.D.
Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
ISABEL TERESA CASARIEGO CRUZ M.D
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
DR. LISA AKIYE YAMAMOTO D.O.
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
WOJCIECH MAREK ROCZNIAK MD
Family Medicine
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
STEVEN M KAPPLER M.D.
Internal Medicine (Gastroenterology)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800
MARIA DEFATIMA POZUELO MD
Internal Medicine (Pulmonary Disease)
1651 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 223-4978
JOSE ROBERTO CASTANEDA MD
Internal Medicine (Critical Care Medicine)
1651 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-1800

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 Brian Ridgely's NPI number?

The NPI number for Brian Ridgely is 1326062977. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Brian Ridgely located?

Brian Ridgely practices at 1651 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 398-1800.

What is Brian Ridgely's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brian Ridgely was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.