Marlene I Bridgforth, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP30004776 Issued in WA

Practice address

1901 S Cedar St
#301 Cardiac Study Center Inc PS
Tacoma, WA 98405-2308

Phone

(253) 572-7320

Fax

(253) 627-3191

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marlene I Mius Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cardiac Study Center Inc PS

  • Cardiovascular Disease Physician
  • Tacoma, WA
  • NPI 1942231196

  Adult Health

  NPD

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023092392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "#301 CARDIAC STUDY CENTER INC PS",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052308",
            "telephone_number": "253-572-7320",
            "fax_number": "253-627-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "#301 CARDIAC STUDY CENTER INC PS",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052308",
            "telephone_number": "253-572-7320",
            "fax_number": "253-627-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGFORTH",
        "first_name": "MARLENE",
        "middle_name": "I",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30004776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9622390",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "MIUS",
            "middle_name": "I",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mattie B. Brickle
• Rebecca E Brickman, DPM
• Julia C Bride, SC61417422
• Bridgeport Allenmore LLC
• Lasana Lanell Bridges, LPN
• Rachel Elisabeth Bridwell, MD
• Kristin R Briejer, MD
• Dayna Rae Briggs, DPT
• Lucas Victor Briggs, D.P.T.
• Bright Side Mental Health Services PLLC

• Adult Health Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.