Individual provider Active NPI

Bridget Hogue, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1093185019
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0001033 Issued in DE
Practice address
1403 Foulk Rd 101
Wilmington, DE 19803-2788
Phone
(302) 661-7676
Fax
(302) 661-1050
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0001033 DE Primary

Addresses

Primary practice location

1403 Foulk Rd 101
Wilmington, DE 19803-2788

Mailing address

1403 Foulk Rd 101
Wilmington, DE 19803-2788
Phone (302) 661-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202000825 DE Practitioner - Physician Assistant 4880994557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.93 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0001033DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Physicians, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1093185019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-661-7676",
            "fax_number": "302-661-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-661-7676",
            "fax_number": "302-661-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "BRIDGET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.