Bridgford Nurse Anesthesia Services

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

79515 Issued in IL

Legal business name

BRIDGFORD NURSE ANESTHESIA SERVICES

Practice address

1130 S Michigan Ave
#3709
Chicago, IL 60605-2521

Phone

(630) 414-3108

Fax

(630) 225-5207

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Christy L Bridgford, CRNA

Title

President

Phone

(630) 414-3108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1659823342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S MICHIGAN AVE",
            "address_2": "#3709",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052521",
            "telephone_number": "630-414-3108",
            "fax_number": "630-225-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S MICHIGAN AVE",
            "address_2": "#3709",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052521",
            "telephone_number": "630-414-3108",
            "fax_number": "630-225-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGFORD NURSE ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "BRIDGFORD",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-414-3108",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "79515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bridges
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• Shenay Nicole Bridges, PH.D.
• Bridgette Love
• Bridgewrights LLC
• Shelbie Rene Bridgham
• Bridging Lyfe LLC
• Bridging the Tys to Jordan Inc
• Sacha Bridi, D.O
• Karl Briedrick, LPC

• Certified Registered Nurse Anesthetist in Chicago, IL
• Providers in Chicago, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.