CHANDLER BRIDGERS (PA) – Physician Assistant, NPI 1356180301

CHANDLER BRIDGERS (PA) is a healthcare provider. based in South boston, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for CHANDLER BRIDGERS (PA) is 1356180301

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
CHANDLER BRIDGERS (PA)
NPI
1356180301
Phone
(434) 575-5864
Address
2204 WILBORN AVE
Enumeration Date
20 May 2024
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4345755864
Graduation Year
2024 (2 years ago)
PAC ID
7416470745
Group Practice PAC ID
8628008331
Professional Enrollment ID
I20250327002247
Address ID
VA245921630SO2210XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for CHANDLER BRIDGERS (PA)

  • 2204 WILBORN AVE

    SOUTH BOSTON, VA 245921645

    Phone: (434) 575-5864

    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)

CMS reports 15 Open Payments records for all available years, with a total value of $417.

Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($152).

Total Amount

$417

General + Research + Ownership

Payments

15

Total payment records

General Amount

$417

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-27

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
I20250327002247IPhysician AssistantVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24592)

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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: 8628008331View full group profile
NameSpecialtyState
Physician AssistantVA
Physician AssistantVA
-VA
Physician AssistantVA
Physician AssistantVA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineVA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineVA
Physician AssistantVA
Physician AssistantVA
Internal Medicine, Cardiovascular Disease (Cardiology)VA

Reviews

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Frequently asked questions

What is the standard ID for CHANDLER BRIDGERS (PA) in the U.S.?
In the U.S., CHANDLER BRIDGERS (PA) is identified by NPI 1356180301.
Is CHANDLER BRIDGERS (PA)'s NPI status active today?
Active status means CHANDLER BRIDGERS (PA)'s NPI record is not deactivated in the public file.
What does the directory say CHANDLER BRIDGERS (PA) does?
Insurance directories may phrase it differently, but here CHANDLER BRIDGERS (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to CHANDLER BRIDGERS (PA)?
CHANDLER BRIDGERS (PA) shows a connection to South Boston, Virginia in registry-derived data.
Why is information missing for CHANDLER BRIDGERS (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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