Active NPI
Bridget Celeste Lynch, M.D.
- Family Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2014-0633
- Practice address
- 3181 SW Sam Jackson Park Road
Ohsu
Portland, OR 97239-3098 - Phone
- (503) 494-8211
- NPI assigned
- Apr 20, 2010
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD2014-0633 | NM | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Road
Ohsu
Portland, OR 97239-3098
Mailing address
PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2014-0633 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| St Vincent Hospital | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| St. Vincent Hospital | Family Medicine | Current | Accepting new patients |
| St. Vincent Hospital | Current | Accepting new patients |
Locations
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233
5550 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 462-6600
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
465 Saint Michaels Dr
Ste 230
Santa Fe, NM 87505
Phone (505) 913-4710
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
Interoperability endpoints
- blynch321766@christushealth.direct-ci.net
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Santa Fe, NM
- NPI 1770982951
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belen, NM
- NPI 1336117621
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1700102407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK ROAD",
"address_2": "OHSU",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393098",
"telephone_number": "503-494-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "BRIDGET",
"middle_name": "CELESTE",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2014-0633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.