Active NPI
Nathaniel Joseph Bridgeo, LADC, MHRT/C, BHP
- Addiction Psychiatry Physician
- Bangor, ME
National Provider Identifier
1356224547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- LC7600
- 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
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 |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC7600 | ME | MD | Addiction 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.