Mark Dewayne Bridgfes , LPN
Licensed Practical Nurse • Tylertown, MS
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Bridgfes has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mark Bridgfes, LPN was a registered Licensed Practical Nurse practicing in Tylertown, MS. Throughout an active medical career spanning 2 years, Mark Bridgfes provided care at the practice location at 11 SIMS THORNHILL RD until profile deactivation on 2021-11-19.
Practice Location & Contact Primary Location
11 Sims Thornhill Rd
Tylertown, MS 396676104
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Tylertown, MS
Practicing in Tylertown, MS (263 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 19, 2021
NPI status registered as active in NPPES database
Registered at 11 SIMS THORNHILL RD, TYLERTOWN, MS 396676104 (Tel: 6013031552)
Registered at 11 SIMS THORNHILL RD, TYLERTOWN, MS 396676104 (Tel: 6013031552)
Recorded as MARK BRIDGFES, LPN
Licensed Practical Nurse (License #321532 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11 Sims Thornhill Rd
Tylertown, MS 396676104
Phone: 6013031552
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