Individual provider Active NPI

Bridget M Kilbride, PA-C

  • Physician Assistant
  • Beaver Dam, WI
National Provider Identifier
1225522733
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4415-23 Issued in WI
Practice address
109 Warren St Ste 1
Beaver Dam, WI 53916-3082
Phone
(920) 885-2622
Fax
(920) 885-4419
NPI assigned
Jun 18, 2018
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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 4415-23 WI Primary

Addresses

Primary practice location

109 Warren St Ste 1
Beaver Dam, WI 53916-3082

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2351 State Road 44
Oshkosh, WI 54904-6333
Phone (920) 651-8855

Other practice location 2

420 Dewey St Ste 1
Wisconsin Rapids, WI 54494-4714
Phone (715) 421-4500

Other practice location 3

3515 Murray St
Marinette, WI 54143-3367
Phone (715) 732-0699

Other practice location 4

735 N Water St Ste 830
Milwaukee, WI 53202-4104
Phone (414) 276-1222

Other practice location 5

111 Wisconsin American Dr
Fond Du Lac, WI 54937-6725
Phone (920) 923-0788

Other practice location 6

1990 Godfrey Dr Ste 119
Waupaca, WI 54981-7908
Phone (715) 258-3041

Other practice location 7

7001 S Howell Ave Ste 900
Oak Creek, WI 53154-1408
Phone (262) 898-4400

Other practice location 8

5501A Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 344-0172

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md
Direct Messaging Address Bridget.Kilbride@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180912000274 WI Practitioner - Physician Assistant 6800146812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

109 Warren St
Suite 1
Beaver Dam, WI 53916-3082
Phone (920) 885-2622

111 Wisconsin American Dr
Fond Du Lac, WI 54937-6725
Phone (920) 923-0788

1400 Scheuring Rd
De Pere, WI 54115-1067
Phone (920) 964-0229

1515 Randolph CT
Manitowoc, WI 54220-8345
Phone (920) 683-5278

2351 State Rd
Suite 44
Oshkosh, WI 54904-6333
Phone (920) 651-8855

510 N 17TH Ave
Suite C
Wausau, WI 54401-4281
Phone (715) 849-5333

5501 A Vern Holmes Dr
Stevens Point, WI 54482-9791
Phone (715) 344-0172

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4415-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. CurrentSince Sep 1, 2018 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Sep 1, 2018 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Sep 1, 2018 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

109 Warren St
Ste 1
Beaver Dam, WI 53916
Phone (920) 885-2622

1400 Scheuring Rd
De Pere, WI 54115
Phone (920) 964-0229

111 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 923-0788

1515 Randolph Ct
Manitowoc, WI 54220
Phone (920) 683-3278

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

3515 Murray St
Marinette, WI 54143
Phone (715) 732-0699

735 N Water St
Ste 830
Milwaukee, WI 53202
Phone (414) 276-1222

Bin 88617
Milwaukee, WI 53288

7001 S Howell Ave
Ste 900
Oak Creek, WI 53154
Phone (920) 663-9005

2351 State Road 44
Oshkosh, WI 54904
Phone (920) 651-8855

5501A Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 344-0172

1990 Godfrey Dr
Ste 119
Waupaca, WI 54981
Phone (715) 258-3041

510 N 17th Ave
Ste C
Wausau, WI 54401
Phone (715) 849-5333

900 E Division St
Wautoma, WI 54982
Phone (920) 787-0837

2600 N Mayfair Rd
Ste 810
Wauwatosa, WI 53226
Phone (414) 771-1122

420 Dewey St
Ste 1
Wisconsin Rapids, WI 54494
Phone (715) 421-4500

Interoperability endpoints

  • Direct secure messaging: bridget.kilbride@forefrontdermatology.emadirect.md

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1225522733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WARREN ST STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163082",
            "telephone_number": "920-885-2622",
            "fax_number": "920-885-4419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 State Road 44",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549046333",
            "country_code": "US",
            "telephone_number": "920-651-8855",
            "fax_number": "920-385-0287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Dewey St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544944714",
            "country_code": "US",
            "telephone_number": "715-421-4500",
            "fax_number": "715-421-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Murray St",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433367",
            "country_code": "US",
            "telephone_number": "715-732-0699",
            "fax_number": "715-732-3522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 N Water St Ste 830",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532024104",
            "country_code": "US",
            "telephone_number": "414-276-1222",
            "fax_number": "414-273-1240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Wisconsin American Dr",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549376725",
            "country_code": "US",
            "telephone_number": "920-923-0788",
            "fax_number": "920-273-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Godfrey Dr Ste 119",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549817908",
            "country_code": "US",
            "telephone_number": "715-258-3041",
            "fax_number": "715-258-3116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 S Howell Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541408",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-435-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501A Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "54482",
            "country_code": "US",
            "telephone_number": "715-344-0172",
            "fax_number": "715-344-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBRIDE",
        "first_name": "BRIDGET",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4415-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "420 Dewey St Ste 1",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544944714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5501A Vern Holmes Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3515 Murray St",
            "city": "Marinette",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541433367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "735 N Water St Ste 830",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532024104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1990 Godfrey Dr Ste 119",
            "city": "Waupaca",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549817908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "111 Wisconsin American Dr",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549376725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7001 S Howell Ave Ste 900",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531541408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2351 State Road 44",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549046333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bridget.Kilbride@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "109 Warren St Ste 1",
            "city": "Beaver Dam",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539163082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.