Individual provider Active NPI

Bridget E Kenny, C.N.M

  • Advanced Practice Midwife
  • North Charleston, SC
National Provider Identifier
1093986663
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
3529 Issued in SC
Practice address
9291 Medical Plaza Dr
North Charleston, SC 29406-9126
Phone
(843) 797-3664
NPI assigned
Mar 21, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 3529 SC Primary

Addresses

Primary practice location

9291 Medical Plaza Dr
North Charleston, SC 29406-9126

Mailing address

176 Smith St
Charleston, SC 29403-6020
Phone (843) 532-5464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222002108 TX Practitioner - Certified Nurse Midwife (CNM) 6103100904 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
3529SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Feb 21, 2019 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Lone Star Circle of Care CurrentSince Oct 1, 2022 Accepting new patients
Lone Star Circle of Care CurrentSince Oct 1, 2022 Accepting new patients
Lone Star Circle of Care Current Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 686-0207

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

Interoperability endpoints

  • Direct secure messaging: bridget.kenny.3@11541.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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1093986663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SMITH ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294036020",
            "telephone_number": "843-532-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 MEDICAL PLAZA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069126",
            "telephone_number": "843-797-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "BRIDGET",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "C.N.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.