Individual provider Active NPI

Bridget K. Haslam, P.A.-C

  • Surgical Physician Assistant
  • Glen Burnie, MD
National Provider Identifier
1619221959
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0004905 Issued in MD
Practice address
331 Oak Manor Dr
Suite 201
Glen Burnie, MD 21061-5548
Phone
(410) 625-5050
Fax
(410) 766-1404
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C0004905 MD Primary

Addresses

Primary practice location

331 Oak Manor Dr
Suite 201
Glen Burnie, MD 21061-5548

Mailing address

PO Box 62440
Baltimore, MD 21264-2440
Phone (410) 625-5050

Other names 1

  • Bridget K. McGrath Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121204000351 MD Practitioner - Physician Assistant 2163674805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

193 Stoner Ave
Suite 220
Westminster, MD 21157-6881
Phone (410) 876-3380

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

844 Washington Rd
Suite 102
Westminster, MD 21157-6664
Phone (410) 871-0088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004905MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC Surgical CurrentSince Feb 24, 2020 Accepting new patients
Advanced Spine and Pain Centers, PLLC Past Accepting new patients
Carroll Health Group, LLC PastSince Apr 27, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1619221959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62440",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642440",
            "telephone_number": "410-625-5050",
            "fax_number": "410-766-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR",
            "address_2": "SUITE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615548",
            "telephone_number": "410-625-5050",
            "fax_number": "410-766-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLAM",
        "first_name": "BRIDGET",
        "middle_name": "K.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0004905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "MCGRATH",
            "middle_name": "K.",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.