Bridgewell Medical, Inc.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

Legal business name

BRIDGEWELL MEDICAL, INC.

Practice address

800 W Main St Suite 1460
Boise, ID 83702-9030

Phone

(208) 505-1179

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Dawn Schott

Title

President

Phone

(208) 505-1179

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Todd Bishop, PHARMD

  • Ambulatory Care Pharmacist
  • Boise, ID
  • NPI 1528575453
  NPD
• Jenni Kay Jensen, ARNP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1285226084
  NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690588800000",
    "number": "1073080313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6795",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837070795",
            "telephone_number": "208-505-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST SUITE 1460",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837029030",
            "telephone_number": "208-505-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWELL MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "SCHOTT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-505-1179"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Bridges, CST/CSFA
• Carolyn Buxton Bridges, M.D.
• Cynthia Ann Bridges, D.M.D.
• Daryl A. Bridges, LCPC
• Kelly Jean Bridges, M.D.
• Rachel Briggs Gutierrez, LCPC-6300
• Edwin Manley Briggs, M.D.
• Jessica Anne Briggs, PA-C
• Bright Blooms LLC (BrightStar of Boise)
• Bright Hope

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2023; 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.