Individual provider · Type 1 NPI

Brian D. Ridgely, PA

Physician Assistant · Port St. Lucie, FL

NPI number 1326062977 Active

Practice location

1651 SE Tiffany Ave
Port St. Lucie, FL 34952-7564

Fax (772) 398-1815

Mailing address

PO Box 417
Stuart, FL 34995-0417

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA3524 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1326062977

Brian D. Ridgely, PA's National Provider Identifier is 1326062977, issued on Jul 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jun 15, 2010.