Shequita Madry Bridgeforth, NP

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MAD014389831 Issued in AL

Practice address

1874 Beltline Rd SW Ste 105
Decatur, AL 35601-5514

Phone

(256) 355-9711

Fax

(256) 351-9717

NPI assigned

Jan 5, 2016

Last updated

Aug 5, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

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.

• Together Women's Health Medical Group of Alabama PC

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1689637431
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1760848972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW STE 105",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-355-7111",
            "fax_number": "256-351-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW STE 105",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-355-9711",
            "fax_number": "256-351-9717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Balch Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357588820",
            "country_code": "US",
            "telephone_number": "256-704-2229",
            "fax_number": "256-704-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGEFORTH",
        "first_name": "SHEQUITA",
        "middle_name": "MADRY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MAD014389831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Brannon
• Nicholas Tilford Braswell IV, M.D.
• Ashley Brenner
• Michelle Brewer, FNP-BC
• Brian R James MD PC
• Mitra H Bridwell, R, MR
• Yvonne Briggs, OTR/L
• Leah Bromley, RBT
• Kellie Kilpatrick Brooks, RBT
• Sarah Brooks

• Obstetrics & Gynecology Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.