Active NPI
Colin R. Bridgeman, MD
- Pediatrics Physician
- Lancaster, PA
National Provider Identifier
1417070673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD437323
- Practice address
- 555 N. Duke Street
Lancaster, PA 17602-2250 - Phone
- (717) 544-5511
- Fax
- (717) 544-5333
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT188521 | PA | |
| Pediatrics Physician | 208000000X | MD437323 | PA | Primary |
Addresses
Primary practice location
555 N. Duke Street
Lancaster, PA 17602-2250
Mailing address
100 E Penn SQ FL 9
Philadelphia, PA 19107-3377
Phone (267) 425-9234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT188521 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Pediatrics | Current | Accepting new patients |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| The Milton S Hershey Medical Center | Past | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Pediatrics | Past | Accepting new patients |
| The Nemours Foundation | Past | Accepting new patients |
Locations
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 9
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.
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- Pediatric Adolescent Medicine Physician
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- NPI 1689769705
-
- Body Imaging Physician
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- NPI 1346215928
-
- Pediatrics Physician
- Hershey, PA
- NPI 1205801537
Pediatrics
-
- General Acute Care Hospital
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-
- Children's Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1417070673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ FL 9",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073377",
"telephone_number": "267-425-9234",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N. DUKE STREET",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022250",
"telephone_number": "717-544-5511",
"fax_number": "717-544-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGEMAN",
"first_name": "COLIN",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT188521",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD437323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.