Individual provider Active NPI

Brigid Q Morgan, PA

  • Physician Assistant
  • Modesto, CA
National Provider Identifier
1093782773
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
64462 Issued in CA
Practice address
2401 E Orangeburg Ave Ste 300
Modesto, CA 95355-3971
Phone
(209) 724-6000
NPI assigned
Mar 2, 2006
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2608 FL
Physician Assistant 363A00000X 64462 CA Primary

Addresses

Primary practice location

2401 E Orangeburg Ave Ste 300
Modesto, CA 95355-3971

Mailing address

310 Hospital Ave
Jefferson, NC 28643
Phone (366) 846-6322

Other practice location 1

310 Hospital Ave
Jefferson, NC 28643
Phone (336) 846-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131206001289 TX Practitioner - Physician Assistant 2163609785 Reassigns benefits to 2 organizations
I20230614000155 NC Practitioner - Physician Assistant 2163609785 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64462CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince May 1, 2025 Accepting new patients
Ashe Memorial Hospital Inc CurrentSince May 1, 2023 Accepting new patients
Southeast Alaska Regional Health Constortium CurrentSince May 1, 2025 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Aug 26, 2013 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Aug 26, 2013 Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

Interoperability endpoints

  • Direct secure messaging: brigid.morgan.1@14562.direct.athenahealth.com

Organizations & group practices 7

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1093782773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL AVE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "28643",
            "telephone_number": "366-846-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE STE 300",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553971",
            "telephone_number": "209-724-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "NC",
            "postal_code": "28643",
            "country_code": "US",
            "telephone_number": "336-846-6322",
            "fax_number": "406-353-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "BRIGID",
        "middle_name": "Q",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "2608",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.