Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridge Street ASC, LLC

Organization Anesthesiology Physician · NPI 1154206126

Bridge Street ASC, LLC is an Anesthesiology Physician in Brooklyn, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

79 Bridge St
Brooklyn, NY 11201-1596
Phone: (718) 568-6699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1154206126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Billy Ingram — Administrator · (718) 568-6699
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address79 Bridge St, Brooklyn, NY 11201-1596

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