Bridget Penfold Bahneman, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R1377952 Issued in MN

Practice address

1875 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2298

Phone

(651) 686-6400

Fax

(651) 714-1264

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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.

• Healtheast Medical Research Institute

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  • NPI 1639125503
  Medicare reassignment NPD MN
• Healtheast Medical Research Institute

  • Family Medicine Physician
  • Roseville, MN
  • NPI 1053620187
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
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  • NPI 1689616716
  NPD
• Healtheast Medical Research Institute

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1730128398
  NPD
• Healtheast Woodwinds Hospital

  • General Acute Care Hospital
  • Woodbury, MN
  • NPI 1356309322
  NPD (past)

• Ms. Bridget Colleen Penfold Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2010.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1295710036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-646-6800",
            "fax_number": "651-714-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-686-6400",
            "fax_number": "651-714-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNEMAN",
        "first_name": "BRIDGET",
        "middle_name": "PENFOLD",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "R1377952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140165300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41181200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "PENFOLD",
            "middle_name": "COLLEEN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Woodbury, MN
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.