SARAH GRACE BRIDGEMAN MD
NPI 1790535151
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Sarah Bridgeman's NPI number?

The NPI number for Sarah Bridgeman is 1790535151. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Q: What is Sarah Bridgeman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Bridgeman was last updated on March 26, 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 26, 2024PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Sarah Grace Bridgeman Md NPPES

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

SARAH GRACE BRIDGEMAN MD (NPI 1790535151) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790535151

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSARAH GRACE BRIDGEMANCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address507 W Pine StJohnson City, TN 37604-6625 · (865) 323-4402

Phone(601) 984-1000

Sole ProprietorNo

Enumeration DateMarch 26, 2024

NPPES CertifiedMarch 26, 2024

✔ NPI 1790535151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Grace Bridgeman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)