Bridget Nicole Chukwudifu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD484337 Issued in PA

Practice address

804 Belvedere St
Carlisle, PA 17013-4000

Phone

(717) 243-1943

Fax

(717) 243-6708

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Bridget Nicole Keehan Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Carlisle Pediatric Associates

  • Pediatrics Physician
  • Carlisle, PA
  • NPI 1467408211
  NPD (past)

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1497335442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BELVEDERE ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134000",
            "telephone_number": "717-243-1943",
            "fax_number": "717-243-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BELVEDERE ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134000",
            "telephone_number": "717-243-1943",
            "fax_number": "717-243-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Drive",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "17033",
            "country_code": "US",
            "telephone_number": "717-531-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUDIFU",
        "first_name": "BRIDGET",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT224382",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD484337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "KEEHAN",
            "middle_name": "NICOLE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janelle Renea Chockla, DPT
• Cynthia Calla Christenson, PSY.D
• Edward L Christie, CRNA
• Christina Zimmerman LPC
• Suzan Chuang Lowry, MD
• Church of God Home Inc
• Ruth Marie Ciarrocca, OTR
• Nancy Taylor Cicak, CRNP
• Claremont Nursing & Rehabilitation Center LLC
• Linda Jean Clark, M.D.

• Pediatrics Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.

Verify at the official NPI Registry.