Active NPI
Bridget Nadine McMullen, M.A. AUDIOLOGY
- Audiologist
- Lackland AFB, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51049
- Practice address
- 2200 Bergquist Dr
Lackland a F B, TX 78236-9908 - Phone
- (210) 292-7770
- NPI assigned
- Jan 5, 2006
- Last updated
- Mar 26, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51049 | TX | Primary |
| Audiologist | 231H00000X | 2201001701 | VA |
Addresses
Primary practice location
2200 Bergquist Dr
Lackland a F B, TX 78236-9908
Mailing address
1718 Chippington Dr
San Antonio, TX 78253-5964
Other practice location 1
120 Kings Way
Williamsburg, VA 23185-2505
Phone (757) 345-2600
Other practice location 2
895 City Center Blvd Ste 152
Newport News, VA 23606-3080
Phone (757) 599-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
895 City Ctr Blvd
Suite 152
Newport News, VA 23606-3080
Phone (757) 599-5505
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51049 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Current | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
895 City Center Blvd
Ste 152
Newport News, VA 23606
Phone (757) 599-5505
120 Kings Way
Ste 3500
Williamsburg, VA 23185
Phone (757) 220-6823
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Riverside Gastroenterology Specialists
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
dba Raleigh Hearing & Tinnitus Center
- Hearing Aid Equipment
- Newport News, VA
- NPI 1275690497
-
dba Riverside Gastroenterology Specialists Williamsburg
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
-
dba Bruton Avenue Family Practice
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Regional Medical Center
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1568440923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 CHIPPINGTON DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369908",
"telephone_number": "210-292-7770"
}
],
"practiceLocations": [
{
"address_1": "120 Kings Way",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231852505",
"country_code": "US",
"telephone_number": "757-345-2600",
"fax_number": "757-253-1527",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "895 City Center Blvd Ste 152",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236063080",
"country_code": "US",
"telephone_number": "757-599-5505",
"fax_number": "757-599-3618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMULLEN",
"first_name": "BRIDGET",
"middle_name": "NADINE",
"name_prefix": "Ms.",
"credential": "M.A. AUDIOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51049",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackland AFB, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.