ROBERT BRIDGE (MD) – Emergency Medicine Physician, NPI 1073621132

ROBERT BRIDGE (MD) is a healthcare provider. based in Glencoe, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. MD101261 (MO). The NPI Number for ROBERT BRIDGE (MD) is 1073621132

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT BRIDGE (MD)
NPI
1073621132
Phone
(636) 273-4418
Address
1524 GARDEN VALLEY DR
Enumeration Date
29 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737545531
Graduation Year
1992 (34 years ago)
PAC ID
5597899039
Group Practice PAC ID
2466740402
Professional Enrollment ID
I20100818001364
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ROBERT BRIDGE (MD)

  • 1524 GARDEN VALLEY DR

    GLENCOE, MO 630381489

    Phone: (636) 273-4418

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100818001364IInternal MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making115105$0
99284Emergency department visit with moderate level of medical decision making8979$0
99283Emergency department visit with low level of medical decision making3735$0
99291Critical care, first 30-74 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 63038)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466740402View full group profile

Reviews

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Frequently asked questions

How do I look up ROBERT BRIDGE (MD) by NPI?
Use NPI 1073621132 when you need to reference ROBERT BRIDGE (MD) in forms, claims, or directories.
Is ROBERT BRIDGE (MD) active in the national directory?
ROBERT BRIDGE (MD)'s public NPI profile is in an active state.
Does ROBERT BRIDGE (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for ROBERT BRIDGE (MD). Clinical services aligned with this taxonomy classification.
Where is ROBERT BRIDGE (MD)'s primary listing?
We display Glencoe, Missouri because that is what the record indicates for ROBERT BRIDGE (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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