Bridget Collins, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-12374 Issued in HI

Legal business name

BRIDGET COLLINS, MD, LLC

Practice address

3175 Elua St Ste C
Lihue, HI 96766-1203

Phone

(808) 212-9867

Fax

(434) 333-7504

NPI assigned

Jan 14, 2018

Last updated

Apr 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bridget Maureen Collins, MDNPI 1992800403

Title

Owner

Phone

(808) 212-9867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bridget Collins, M.D.

  • Family Medicine Physician
  • Lihue, HI
  • NPI 1992800403
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1033627930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 KIINANI PL",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469707",
            "telephone_number": "808-212-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 ELUA ST STE C",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661203",
            "telephone_number": "808-212-9867",
            "fax_number": "434-333-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET COLLINS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-14",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-212-9867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-12374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Louise Bradish
• Kim Marie Bradley
• Sashi Andrade Braga, M.D.
• Michael Steven Braun, M.D.
• Kiana Bridgeman
• Jenna Bright, MSW
• Brittney LM Brun
• Erna Brune, PHARMD
• Addison Bulosan, D.C.
• Charlene M.C. Burgess

• Family Medicine Physician in Lihue, HI
• Providers in Lihue, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.