John Russell Bridger, PHD, MS is a
Psychologist - Clinical based in Flagstaff, Arizona. John Russell Bridger is licensed to practice in Arizona (license number PSY-005572) and his current practice location is
1016 W University Ave Ste 202, Flagstaff, Arizona. He can be reached at his office (for appointments etc.) via phone at
(970) 844-7151.
NPI number for John Russell Bridger is 1932563673 and his current mailing address is 1016 W University Ave Ste 202, Flagstaff, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932563673.
Healthcare Provider's Profile
| Full Name | John Russell Bridger |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1016 W University Ave Ste 202, Flagstaff, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932563673
- Provider Enumeration Date: 04/08/2016
- Last Update Date: 08/17/2023
Medical Identifiers
Medical identifiers for John Russell Bridger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932563673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY.0005360 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-005572 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Russell Bridger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Russell Bridger, PHD, MS
1016 W University Ave Ste 202,
Flagstaff, AZ 86001-2996
Ph: (970) 844-7151 | John Russell Bridger, PHD, MS
1016 W University Ave Ste 202,
Flagstaff, AZ 86001-2996
Ph: (970) 844-7151 |
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