Bridgitte C. Gourley, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R139679 Issued in MD

Practice address

1419 Forest Dr
Annapolis, MD 21403-1482

Phone

(410) 990-0050

Fax

(410) 990-0336

NPI assigned

Feb 7, 2006

Last updated

Nov 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Bridgitte C Patterson Former name

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luminis Health Community Clinics, LLCGroup PAC ID 0345475851, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bgourley27305@direct.aahs.org

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.

• Luminis Health Community Clinics, LLC

  • Family Medicine Physician
  • Annapolis, MD
  • NPI 1073950671
  Medicare reassignment Care Compare group NPD
• Luminis Health Community Clinics, LLC

  dba Luminis Health Community Clinics

  • Family Medicine Physician
  • Annapolis, MD
  • NPI 1295542595
  NPD
• Luminis Health Medical Group, LLC

  dba Arnold Family Medicine

  • Family Medicine Physician
  • Arnold, MD
  • NPI 1023085222
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1689646218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 FOREST DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031482",
            "telephone_number": "410-990-0050",
            "fax_number": "410-990-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FOREST DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031482",
            "telephone_number": "410-990-0050",
            "fax_number": "410-990-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "BRIDGITTE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R139679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839600100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGITTE",
            "last_name": "PATTERSON",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Loretta Harriet Gossett, R.N.
• Keith E. Goulet, D.O.
• Sandra Goulet, RN
• Maria-Annette Goumas, RN
• Andonia Gountanis, RBT
• Rakesh Goyal, MD
• Grace Porter Therapy
• Ronald Grace II, PSYD
• Graceway Health Care LLC
• Graceway Health Care LLC

• Family Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.
• 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.

Verify at the official NPI Registry.