Individual provider Active NPI

Bridget Chinelo Nduka, DO

  • Family Medicine Physician
  • Concord, NC
National Provider Identifier
1013473438
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-01401 Issued in NC
Practice address
7752 Gateway LN NW Ste 100
Concord, NC 28027-4421
Phone
(704) 316-4950
Fax
(704) 316-4951
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023-01401 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7752 Gateway LN NW Ste 100
Concord, NC 28027-4421

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

500 Cherry St
Bluefield, WV 24701-3306
Phone (304) 325-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629003188 NC Practitioner - Family Practice 1456776731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

7752 Gateway NWLN
Suite 100
Concord, NC 28027-4421
Phone (704) 316-4950

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2023-01401NCMDFamily Medicine Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jun 10, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 10, 2023 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jun 10, 2023 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: bakunna691666@direct.novanthealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1013473438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7752 GATEWAY LN NW STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274421",
            "telephone_number": "704-316-4950",
            "fax_number": "704-316-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247013306",
            "country_code": "US",
            "telephone_number": "304-325-1974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUKA",
        "first_name": "BRIDGET",
        "middle_name": "CHINELO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-01401",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.