Anthony Thomas Bridgeman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12512-40 Issued in WI

Practice address

822 Park Ave
Beaver Dam, WI 53916-2206

Phone

(608) 887-7511

NPI assigned

Jun 5, 2013

Last updated

Jun 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1104264779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162206",
            "telephone_number": "608-887-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162206",
            "telephone_number": "608-887-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEMAN",
        "first_name": "ANTHONY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12512-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Lee Bostwick, P.T.
• Kristine Braker, NP
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• Kailin M Brath
• Douglas Earl Bricker, MD
• Megan Brisbois, PT
• Richard J Bronecki, LISW, CEAP, SAP
• Meagan Brown, H.I.S.
• Rebecca Buchda
• William Henry Bull V, MD

• Pharmacist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.