| Dr Stephen S Bridge, MD | |
| 
					4060 4th Ave, Suite 310, San Diego, CA 92103-2116  | |
| (619) 297-4707 | |
| (858) 429-7927 | 
| Full Name | Dr Stephen S Bridge | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 4060 4th Ave, San Diego, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922034891 | NPI | - | NPPES | 
| DQ461Y | Other | CA | MEDICARE PTAN FOR GHP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | A44719 (California) | Primary | 
| Entity Name | Scripps Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822  | 
| Entity Name | Emergency And Acute Care Medical Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Stephen S Bridge, MD Po Box 33865, San Diego, CA 92163-3865 Ph: (858) 888-7700  | Dr Stephen S Bridge, MD 4060 4th Ave, Suite 310, San Diego, CA 92103-2116 Ph: (619) 297-4707  | 
Dr. Paul Charles Campbell, D.O. Urology Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7200  | |
Dr. Ithaar Derweesh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273  | |
Dr. John J Martin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4060 4th Ave, Suite 310, San Diego, CA 92103 Phone: 619-297-4707 Fax: 619-297-2448  | |
Mr. Youngkyu Peter Sheen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5138 Sea Mist Court, San Diego, CA 92121 Phone: 858-642-0536 Fax: 858-642-0536  | |
Dr. Philip Hyunwoo Kim, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4405 Vandever Ave, Urologic Surgery, San Diego, CA 92120 Phone: 619-528-5000  | |
Anh Thuy Nguyen, MD Urology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781  | |
Dr. Habib Anwar Md, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5555 Reservoir Drive, Suite 206, San Diego, CA 92120 Phone: 619-265-0911 Fax: 619-265-0913  |