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

Allyson Bridewell, PA-C

Individual provider Physician Assistant · NPI 1912618869

Allyson Bridewell, PA-C is a Physician Assistant in Southgate, Kentucky. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

222 Vail Ct
Southgate, KY 41071-2854
Phone: (505) 923-5362
Fax: (505) 620-5354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2023-0250 (NM)

Record details

NPI number1912618869
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 12, 2022
Last updated in NPPESSeptember 19, 2023
Certification dateDecember 12, 2022

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