Bridget Keough Keough, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00234000 Issued in NJ

Practice address

2030 Highland Ave
Bethlehem, PA 18020-8963

Phone

(610) 849-0697

NPI assigned

May 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1164043949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SOCIETY HILL WAY",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HIGHLAND AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208963",
            "telephone_number": "610-849-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "BRIDGET",
        "middle_name": "KEOUGH",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00234000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICAL EXAMINERS",
            "identifier": "25MT00234000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget.keough@lvhn.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2030 Highland Ave",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180208963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget.keough@lvhn.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2030 Highland Ave",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180208963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget.keough@lvhn.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2030 Highland Ave",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180208963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget.keough@lvhn.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2030 Highland Ave",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180208963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bridget.keough@lvhn.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2030 Highland Ave",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180208963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clare Kenney, PA-C
• William J Kenney, CRNA
• Lexi Kenny
• Kent M. Ozman (StarKent Chiropractic & Kinesiology)
• Coleen Elizabeth Kenyon, LPC
• Monica Viegas Kerecman, PA-C
• Hunter Kern, MACC
• Wendi Kerr, RPH
• Julia M Kerrigan, M.D.
• Jonathan Kershner, PA-C

• Athletic Trainer in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; 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.