NPIMap

Individual provider Active NPI

Bridget Katherine Peterson, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
National Provider Identifier
1346516531
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
833 Chestnut St
Suite 301
Philadelphia, PA 19107-4414
Phone
(215) 955-7190
NPI assigned
Apr 1, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

833 Chestnut St
Suite 301
Philadelphia, PA 19107-4414

Mailing address

1015 Walnut St
Suite 401
Philadelphia, PA 19107-5005
Phone (215) 955-2363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150923000923 TX Practitioner - Family Practice 4385877828 Reassigns benefits to 4 organizations
I20170831002080 PA Practitioner - Family Practice 4385877828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc WashingtonGroup PAC ID 0446159313, 21 clinicians

Practice addresses (Care Compare)

3415 Millers Run Rd
Cecil, PA 15321-1403
Phone (724) 874-7414

95 Leonard Ave
Washington, PA 15301-3368
Phone (724) 223-3100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Jul 18, 2015 Accepting new patients
Ton Sells Hospital CurrentSince Jul 18, 2015 Accepting new patients
Ton San Simon Health Center CurrentSince Jul 18, 2015 Accepting new patients
Ton Santa Rosa Health Center CurrentSince Jul 18, 2015 Accepting new patients
Concordia Hospice of Washington Family Medicine CurrentSince Aug 7, 2017 Accepting new patients
Ton San Simon Health Center CurrentSince Nov 24, 2024 Accepting new patients
Upmc Washington Family Medicine CurrentSince Aug 7, 2017 Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Upmc Washington Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

100 S Central Ave
Canonsburg, PA 15317
Phone (724) 745-4100

3415 Millers Run Rd
Cecil, PA 15321
Phone (724) 225-6500

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

Interoperability endpoints

  • Direct secure messaging: bridget.peterson@whc.eclinicaldirectplus.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1346516531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WALNUT ST",
            "address_2": "SUITE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075005",
            "telephone_number": "215-955-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIDGET",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.