| Doctor Name: | DR. MATTHEW ANTHONY BRIDGER |
| NPI Number: | 1487639134 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 356719 |
| Business Practice Address: | 223 E Town St Columbus, OH - 432154683 |
| Business Phone Number: | 6145669191 |
| Business Fax Number: | |
| Mailing Address: | 1512 Teeway Dr, COLUMBUS |
| State: | OH |
| Postal Code: | 432203953 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 356719 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |