Individual provider Active NPI

Nathaniel Joseph Bridgeo, LADC, MHRT/C, BHP

  • Addiction Psychiatry Physician
  • Bangor, ME
National Provider Identifier
1356224547
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
LC7600 Issued in ME
Practice address
6 State St Ste 513
Bangor, ME 04401-5163
Phone
(207) 812-8372
NPI assigned
Jul 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X LC7600 ME Primary

Addresses

Primary practice location

6 State St Ste 513
Bangor, ME 04401-5163

Mailing address

666 Finson Rd Lot 132
Bangor, ME 04401-2443
Phone (207) 401-0966

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address recoveringbridgescounselingllc@outlook.com Direct Cornerstone Behavioral Healthcare, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC7600MEMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1356224547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 FINSON RD LOT 132",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012443",
            "telephone_number": "207-401-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STATE ST STE 513",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015163",
            "telephone_number": "207-812-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEO",
        "first_name": "NATHANIEL",
        "middle_name": "JOSEPH",
        "credential": "LADC, MHRT/C, BHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "ME",
            "license": "LC7600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "recoveringbridgescounselingllc@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "Practice Email",
            "affiliationName": "Cornerstone Behavioral Healthcare, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Email",
            "address_1": "6 State St Ste 513",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044015163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.