Individual provider Active NPI

Bridget Freeman, MD

  • Pediatric Hematology & Oncology Physician
  • Green Bay, WI
National Provider Identifier
1649346032
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
ME53299 Issued in FL
Practice address
Hemophilia Outreach Center
2060 Bellevue St
Green Bay, WI 54311
Phone
(920) 965-0606
NPI assigned
Nov 28, 2006
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X EL151023 ME
Pediatrics Physician 208000000X 4301091783 MI
Pediatrics Physician 208000000X LT3572 NH
Pediatrics Physician 208000000X 42713 MT
Pediatric Hematology & Oncology Physician 2080P0207X ME53299 FL Primary
Pediatric Hematology & Oncology Physician 2080P0207X 68402 WI

Addresses

Primary practice location

Hemophilia Outreach Center
2060 Bellevue St
Green Bay, WI 54311

Mailing address

1826 Tierra Verde Dr
Atlantic Beach, FL 32233-4527
Phone (715) 587-4904

Other identifiers 4

IdentifierTypeStateIssuer
ME53299OtherFLLICENSE
055906700MedicaidFL
100069604MedicaidWI
12969OtherFLBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WI, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151103002071 MT Practitioner - Pediatric Medicine 4486729159 Reassigns benefits to 1 organization
I20170918002739 WI Practitioner - HematologyPractitioner - Pediatric Medicine 4486729159 Reassigns benefits to 3 organizations
I20190923002085 SC Practitioner - Pediatric Medicine 4486729159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
EL151023MEMDPediatrics Physician
42713MTMDPediatrics Physician
LT3572NHMDPediatrics Physician
ME53299FLMDPediatric Hematology & Oncology Physician
68402WIMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Jul 23, 2018 Accepting new patients
Aurora Medical Group, Inc. Family Medicine Current Accepting new patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince Jan 5, 2019 Accepting new patients
Prisma Health Tuomey CurrentSince Jul 1, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 23, 2018 Accepting new patients
Prisma Health Tuomey CurrentSince Jul 1, 2019 Accepting new patients
Mercy Medical Center Current Accepting new patients
SCL Health Medical Group-Butte LLC Family Medicine CurrentSince Jan 5, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 23, 2018 Accepting new patients
Scottish Rite Children's Medical Center Pediatric Hematology-Oncology Past Accepting new patients
Egleston Children's Hospital at Emory University, Inc. Past Accepting new patients
Douglas Hospital, Inc. Past Accepting new patients
Kennestone Hospital, Inc. Past Accepting new patients
Arthur M. Blank Hospital, Inc. Past Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

3003 University Dr
Marinette, WI 54143
Phone (715) 732-8200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: bfreeman1163751@direct.hopkinsmedicine.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1649346032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 TIERRA VERDE DR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334527",
            "telephone_number": "715-587-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEMOPHILIA OUTREACH CENTER",
            "address_2": "2060 BELLEVUE ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54311",
            "telephone_number": "920-965-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "BRIDGET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "EL151023",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301091783",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "LT3572",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "42713",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME53299",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WI",
            "license": "68402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME53299",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055906700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069604",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "12969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.