Individual provider Active NPI

Brianna Nicole Bridgeman

  • Student in an Organized Health Care Education/Training Program
  • Westerville, OH
National Provider Identifier
1053876847
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
2017189 Issued in OH
Practice address
900 Club Dr
Westerville, OH 43081-4909
Phone
(614) 289-2838
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2017189 OH Primary

Addresses

Primary practice location

900 Club Dr
Westerville, OH 43081-4909

Mailing address

5345 Grandon Dr
Hilliard, OH 43026-1716

Other practice location 1

5020 Reed Rd Ste C
Columbus, OH 43220-2581
Phone (614) 204-5066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017189OHMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10687/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1053876847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 GRANDON DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CLUB DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814909",
            "telephone_number": "614-289-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 Reed Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202581",
            "country_code": "US",
            "telephone_number": "614-204-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGEMAN",
        "first_name": "BRIANNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "2017189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.