Clive W Bridgham, DC
Individual provider Active NPI Sports Physician Chiropractor · Barrington, RI
NPI 1477600682 · NPPES record last updated May 28, 2008
Key facts
- NPI
- 1477600682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 266 (RI)
- Practice address
- 282 County Rd
Barrington, RI 02806-2412 - Phone
- (401) 245-7070
- Fax
- (401) 245-7010
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266 | RI | MD | Sports Physician Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 266 | RI | Yes |
Addresses
Primary practice location
282 County Rd
Barrington, RI 02806-2412
Mailing address
282 County Rd
Barrington, RI 02806-2412
Phone (401) 245-7070
Other providers in Barrington, RI
- Chantal Bolger
- Eileen Howard Boone
- Aili Hautala Boyd
- Leslie K Brackett
- Nicole Braga-O'Neill
- Heidi S Brousseau
- Brown Vision Care, Inc
- Bruce a Fischer MD
- Suzanne Brushart-Shaw
- Dianne Cathy Buono
All providers in Barrington, RI · Sports Physician Chiropractor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.