Bridgewater Women Center, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME63506 Issued in FL

Legal business name

BRIDGEWATER WOMEN CENTER, LLC

Practice address

16782 NW 67TH Ave
Hialeah, FL 33015-4202

Phone

(954) 671-0111

Fax

(954) 671-0070

NPI assigned

Aug 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard Leon Bridgewater, MD

Title

President

Phone

(954) 671-0111

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8778/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250294400000",
    "number": "1043442676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 NW 70TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331476740",
            "telephone_number": "305-458-1913",
            "fax_number": "954-671-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154202",
            "telephone_number": "954-671-0111",
            "fax_number": "954-671-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER WOMEN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-15",
        "last_updated": "2009-08-15",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-671-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME63506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2009; 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.