Bridget Basile Ibrahim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN270470 Issued in MA

Practice address

1575 Blue Hill Ave
Mattapan Community Health Center
Boston, MA 02126-2122

Phone

(617) 296-0061

Fax

(617) 296-5408

NPI assigned

Oct 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bridget Basile Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1437587219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BLUE HILL AVE",
            "address_2": "MATTAPAN COMMUNITY HEALTH CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021262122",
            "telephone_number": "617-296-0061",
            "fax_number": "617-296-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BLUE HILL AVE",
            "address_2": "MATTAPAN COMMUNITY HEALTH CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021262122",
            "telephone_number": "617-296-0061",
            "fax_number": "617-296-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE IBRAHIM",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN270470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "BASILE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Basha, LICSW
• Vincent Basha
• Sana Basheer, MD
• Elizabeth C Bashoff, MD
• Ryan Gregory Bashour
• Georges Basile, M.D.
• Nora Ellen Basile, AGPCNP-BC, WHNP-BC
• Carlo Soriano Basilio, MD
• Anthony Basilone
• Charumathi Baskaran, MD

• Family Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.