Individual provider Active NPI

Bridget Lamonica Ostrem, M.D., PH.D.

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1275994188
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
277340 Issued in MA
Practice address
55 Fruit Street
Wacc 8-835
Boston, MA 02114
Phone
(857) 644-6387
NPI assigned
Mar 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 277340 MA Primary

Addresses

Primary practice location

55 Fruit Street
Wacc 8-835
Boston, MA 02114

Mailing address

55 Fruit Street
Wacc 8-835
Boston, MA 02114
Phone (855) 644-6387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20220729002600 CA Practitioner - Neurology 1456625433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Francisco School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jul 1, 2022 Accepting new patients
UCSF Medical Group Business Services Neurology CurrentSince Jul 1, 2022 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
Children'S Hospital Pediatric Associates, Inc Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
Fl 5
San Francisco, CA 94143
Phone (415) 353-2101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1275994188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "WACC 8-835",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "855-644-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "WACC 8-835",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "857-644-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTREM",
        "first_name": "BRIDGET",
        "middle_name": "LAMONICA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "277340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.