NPIMap

Organization Active NPI

Bridgewell

  • Community Health Registered Nurse
  • Lynnfield, MA
National Provider Identifier
1497088546
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
143022 Issued in MA
Legal business name
BRIDGEWELL
Practice address
471 Broadway
Lynnfield, MA 01940-1401
Phone
(339) 883-2164
Fax
(339) 883-2187
NPI assigned
Sep 8, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Mr. Sherman Sol Fox, MD
Title
Medical Director
Phone
(978) 750-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 143022 MA Primary

Addresses

Primary practice location

471 Broadway
Lynnfield, MA 01940-1401

Mailing address

471 Broadway
Lynnfield, MA 01940-1401
Phone (339) 883-2164

National Provider Directory

National Provider Directory
Tax ID family
Bridgewell4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1497088546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 BROADWAY",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401401",
            "telephone_number": "339-883-2164",
            "fax_number": "339-883-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 BROADWAY",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401401",
            "telephone_number": "339-883-2164",
            "fax_number": "339-883-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "SOL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "978-750-6828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "143022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.