Active NPI
Bridget Looney
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Woburn, MA
National Provider Identifier
1720544364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- S44443453
- Practice address
- 6204 Inwood Dr
Woburn, MA 01801-5152 - Phone
- (508) 713-5835
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | S44443453 | MA | Primary |
Addresses
Primary practice location
6204 Inwood Dr
Woburn, MA 01801-5152
Mailing address
6204 Inwood Dr
Woburn, MA 01801-5152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S44443453 | Other | MA | LISENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S44443453 | MA | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1720544364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6204 INWOOD DR",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 INWOOD DR",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015152",
"telephone_number": "508-713-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOONEY",
"first_name": "BRIDGET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "MA",
"license": "S44443453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISENCE",
"identifier": "S44443453",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.