NPIMap

Individual provider Active NPI

Bridget M. Dewey, M.D.

  • Internal Medicine Physician
  • Sandstone, MN
National Provider Identifier
1073516647
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43633 Issued in MN
Practice address
707 Lundorff Dr Ste 1
Sandstone, MN 55072-5099
Phone
(320) 245-2250
Fax
(320) 245-2555
NPI assigned
May 27, 2005
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43633 MN Primary
Pediatrics Physician 208000000X 43633 MN

Addresses

Primary practice location

707 Lundorff Dr Ste 1
Sandstone, MN 55072-5099

Mailing address

707 Lundorff Dr Ste 1
Sandstone, MN 55072-5099
Phone (320) 245-2250

Other identifiers 1

IdentifierTypeStateIssuer
757602100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505001061 MN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2466364740 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4570 Cty Hwy 61
Moose Lake, MN 55767-9401
Phone (218) 485-4491

707 Lundorff Dr
Suite 1
Sandstone, MN 55072-5099
Phone (320) 245-2250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43633MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD. CurrentSince May 4, 2016 Accepting new patients
The Duluth Clinic, LTD CurrentSince May 4, 2016 Accepting new patients
Pine Medical Center CurrentSince May 4, 2016 Accepting new patients
Gateway Family Health Clinic, LTD. Internal Medicine CurrentSince Aug 1, 2001 Accepting new patients
Pine Medical Center CurrentSince May 4, 2016 Accepting new patients
Gateway Family Health Clinic, LTD. Internal Medicine CurrentSince Aug 1, 2001 Accepting new patients
Gateway Family Health Clinic, LTD. Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

204 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2250

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

707 Lundorff Dr
#1
Sandstone, MN 55072
Phone (320) 245-2250

Interoperability endpoints

  • Direct secure messaging: bridget.dewey@gfhc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDGJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDGJBA/Endpoint/JDGJBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gateway Family Health Clinic, LTD.Sandstone, MN, CCN 243859 Rural health clinic 5% Or Greater Direct Ownership Interest (9.09%)
General Partnership Interest (9.09%)
W-2 Managing Employee (9.09%)		 Feb 1, 2003
Feb 1, 2003
Feb 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1073516647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 LUNDORFF DR STE 1",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725099",
            "telephone_number": "320-245-2250",
            "fax_number": "320-245-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LUNDORFF DR STE 1",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725099",
            "telephone_number": "320-245-2250",
            "fax_number": "320-245-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "BRIDGET",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "43633",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "43633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757602100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandstone, MN

Sources for this page

Verify at the official NPI Registry.