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BRIDGES CLINIC LLC
NPI 1457998486
Internal Medicine in Madison, MS

Active since December 10, 2019CLIA 25D2178190 · Certificate of Compliance
920 EBENEZER BLVD STE A, MADISON, MS 39110(769) 200-1600(769) 200-1571 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2021, Jun 3, 2020, Feb 20, 2020 and 1 more (4 updates tracked since 2019).

About Bridges Clinic Llc NPPES

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

BRIDGES CLINIC LLC (NPI 1457998486) is a healthcare organization registered as an internal medicine in Madison, Mississippi and active in the NPI registry since December 2019. The organization holds a CLIA Certificate of Compliance certificate valid through June 29, 2027 and lists James Kevin Bridges, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1457998486
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRIDGES CLINIC LLC
Location Address920 EBENEZER BLVD STE AMadison, MS 39110-6005
Mailing Address920 Ebenezer Blvd Ste AMadison, MS 39110-6005 · (769) 200-1600 · Fax (769) 200-1571
Phone(769) 200-1600
Fax(769) 200-1571
Organization SubpartNo
Authorized OfficialJames Kevin BridgesSole Member · (769) 200-1600
Enumeration DateDecember 10, 2019
Last NPPES UpdateMay 26, 20214 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1457998486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
920 EBENEZER BLVD STE A, Madison, MS 39110
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridges Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bridges Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Bridges, M.D.
Internal Medicine
NPI 1205065554
920 EBENEZER BLVD STE A
Madison, MS 39110
(769) 200-1600
✔ PECOS✔ Accepts Medicare6.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D2178190

Bridges Clinic LLC · Madison, MS
Active · expires Jun 29, 2027
CLIA Number25D2178190
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorDr. James K. Bridges
Laboratory Phone(769) 200-1600
Laboratory LocationBridges Clinic LLC920 Ebenezer Blvd Ste A, Madison, MS 39110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Bridges Clinic LLC's NPI number?

The NPI number for Bridges Clinic LLC is 1457998486. It was assigned to this organization in the NPPES registry on December 10, 2019.

Where is Bridges Clinic LLC located?

Bridges Clinic LLC is located at 920 Ebenezer Blvd Ste A, Madison, MS 39110. The listed phone number is (769) 200-1600.

What is Bridges Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bridges Clinic LLC enrolled in Medicare?

Yes. Bridges Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridges Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bridges Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bridges Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2178190) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridges Clinic LLC was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.