black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID SHANE BRIDWELL

PRODUCER NON-RESIDENT

License Number:
PRN533283
Status:
First Licensure:
11/13/2025
Cancel Date:
None

Mailing:
CUMMING, GA 30041
Phone:
+1 (770) 406-7919
Fax:
+1 (585) 389-7270
Email:
shanebridwell@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/13/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
PAYCHEX INSURANCE AGENCY INC
11/24/2025 AGN56888

Employer

None.

Authority

Description Issue Date Termination Date Status
HEALTH 11/13/2025 Active
LIFE 11/13/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4778997

Other Addresses

Address Type
225 KENNETH DR
ROCHESTER, NY 14623-4277
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 07/09/2026 03:49:09 PM