Bridget Chinyere Agomuoh, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301076093 Issued in MI

Practice address

37660 Ford Rd
Westland, MI 48185-1924

Phone

(734) 326-6333

Fax

(734) 326-7105

NPI assigned

Jun 3, 2006

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridget Chinyere Nneji Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Westland Pediatric Associates PLLC

  • Pediatric Adolescent Medicine Physician
  • Westland, MI
  • NPI 1609422716
  Medicare reassignment NPD Authorized official
• University Pediatricians

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1811920549
  Medicare reassignment NPD
• University Pediatricians

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1184471690
  NPD
• Duggal and George MD PC

  • Specialist
  • Westland, MI
  • NPI 1184747255
  NPD (past)
• Group Medical Clinic PLLC

  • Obstetrics & Gynecology Physician
  • Hamtramck, MI
  • NPI 1548347206
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1245278977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37660 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851924",
            "telephone_number": "734-326-6333",
            "fax_number": "734-326-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37660 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851924",
            "telephone_number": "734-326-6333",
            "fax_number": "734-326-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOMUOH",
        "first_name": "BRIDGET",
        "middle_name": "CHINYERE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4889170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "NNEJI",
            "middle_name": "CHINYERE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatrics Physician in Westland, MI
• Providers in Westland, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.