Albert L Bridger, PA-C
Physician Assistant in Goldsboro, NC. Individual provider (NPI-1).
NPI number1669455010
StatusActive
Last updated in NPPESFeb 12, 2021
Details
- NPI
- 1669455010
- Entity type
- Individual (NPI-1)
- Name
- Mr. Albert L Bridger
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Certification date
- Feb 12, 2021
- Last updated
- Feb 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 102959 | NC | Yes |
| 363AS0400X | Physician Assistant, Surgical | 102959 | NC | |
| 363AM0700X | Physician Assistant, Medical | 102959 | NC |
Practice location
2613 Hospital RdGoldsboro, NC 27534
Phone 919-736-0222 · Fax 919-736-0223
Mailing address
801 York StManitowoc, WI 54220-4630
Phone 920-663-9008 · Fax 920-684-1439
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 66 Physician Assistant providers in Goldsboro · All 2,033 providers in Goldsboro
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