NPI 1194642082
Justin Bridge
Practice location
- Address
- 749 Pantego Blvd SE, Bolivia, NC 28422-8397
- Phone
- (910) 409-3608
Registered specialties
Registry record
- NPI
- 1194642082
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jul 2026
- Record last updated
- 1 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.