Individual provider · Type 1 NPI

Jerry Alan Bridgham, MD

Pediatric Adolescent Medicine Physician · Jacksonville, FL

NPI number 1740361336 Active

Practice location

14810 Old Saint Augustine Rd Ste 106, Credentialing Department
Jacksonville, FL 32258-2558

Call (904) 268-7701 Map

Fax (904) 268-9708

Mailing address

PO Box 44004
Jacksonville, FL 32231-4004

Specialties and licenses

Taxonomy	Code	License
Pediatric Adolescent Medicine Physician Primary	2080A0000X	ME49397 (FL)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4 other providers at this address

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About NPI 1740361336

Jerry Alan Bridgham, MD's National Provider Identifier is 1740361336, issued on Oct 18, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 19, 2015.