Active NPI
Bridger Martin West, DO, MHA
- Obstetrics & Gynecology Physician
- Grand Blanc, MI
National Provider Identifier
1275222978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5151016166
- Practice address
- 1 Genesys Pkwy
Gme Dept
Grand Blanc, MI 48439 - Phone
- (810) 606-5127
- Fax
- (810) 606-5990
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5151016166 | MI | Primary |
Addresses
Primary practice location
1 Genesys Pkwy
Gme Dept
Grand Blanc, MI 48439
Mailing address
1 Genesys Pkwy
Gme Dept
Grand Blanc, MI 48439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151016166 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1275222978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY",
"address_2": "GME DEPT",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY",
"address_2": "GME DEPT",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48439",
"telephone_number": "810-606-5127",
"fax_number": "810-606-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "BRIDGER",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DO, MHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5151016166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.