Individual provider · Type 1 NPI

Anne Marie Bridegroom, PA

Medical Physician Assistant · Florissant, MO

NPI number 1811262694 Active

Practice location

261 Dunn Rd
Florissant, MO 63031-7928

Call (314) 830-2600 Map

Fax (314) 830-2648

Mailing address

PO Box 650
Edwardsville, IL 62025-0650

Other practice locations

  • 2421 Corporate Ctr Ste 105, Granite City, IL 62040-4195 · (314) 830-2600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2021004987 (MO)
Medical Physician Assistant 363AM0700X085009102 (IL)

Medical Physician Assistant: Definition to come...

6 other providers at this address

About NPI 1811262694

Anne Marie Bridegroom, PA's National Provider Identifier is 1811262694, issued on Mar 13, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Florissant, MO. The record was last updated on Feb 9, 2026.