Shequita Madry Bridgeforth, NP
Individual provider Active NPI Obstetrics & Gynecology Physician · Decatur, AL
NPI 1760848972 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1760848972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MAD014389831 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAD014389831 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Together Women'S Health Medical Group of Alabama PC | Obstetrics & Gynecology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MAD014389831 | AL | Yes |
Addresses
Primary practice location
1874 Beltline Rd SW Ste 105
Decatur, AL 35601-5514
Mailing address
1874 Beltline Rd SW Ste 105
Decatur, AL 35601-5514
Phone (256) 355-7111
Other practice location 1
1041 Balch Rd
Madison, AL 35758-8820
Phone (256) 704-2229
Other providers in Decatur, AL
- Teri Brannon
- Nicholas Tilford Braswell IV
- Ashley Brenner
- Michelle Brewer
- Brian R James MD PC
- Mitra H Bridwell
- Yvonne Briggs
- Leah Bromley
- Kellie Kilpatrick Brooks
- Sarah Brooks
All providers in Decatur, AL · Obstetrics & Gynecology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.