Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Stoddard Bidwell, PA-C

Individual provider Physician Assistant · NPI 1437264256

Justin Stoddard Bidwell, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2003, 23 years ago. Practices with Pinellas Medical Associates PA, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2006
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

5880 49th St N Ste N-104
St Petersburg, FL 33709-2150
Phone: (727) 528-6100
Fax: (727) 528-7895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2191 9th Ave N Ste 105, St Petersburg, FL 33713-7147 — (727) 528-6100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102405 (FL)

Record details

NPI number1437264256
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Pinellas Medical Associates Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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