Dianne Myers Bridgeman, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16140 Issued in MA

Practice address

41 North Rd
Suite 107
Bedford, MA 01730-1037

Phone

(781) 275-7153

Fax

(781) 275-5466

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bedford Dental LLC

  • General Practice Dentistry
  • Bedford, MA
  • NPI 1821862871
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265445746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NORTH RD",
            "address_2": "SUITE 107",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301037",
            "telephone_number": "781-275-7153",
            "fax_number": "781-275-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NORTH RD",
            "address_2": "SUITE 107",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301037",
            "telephone_number": "781-275-7153",
            "fax_number": "781-275-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEMAN",
        "first_name": "DIANNE",
        "middle_name": "MYERS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16140",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Bradvica, RD,LDN
• Shelby Brand
• Erin Brassil, LICSW
• Taylor Richard Brean, LICSW
• Janet Breslau
• Katelyn Bridges
• Julie Brill, IBCLC
• James E Broderick Jr.
• Ann Nora Brooks
• Mark Aaron Brooks, PHARMD

• General Practice Dentistry in Bedford, MA
• Providers in Bedford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.