Bridget Bovich, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111095 Issued in FL

Practice address

6044 Doctors Park
Milton, FL 32570-5072

Phone

(850) 226-6801

NPI assigned

May 22, 2017

Last updated

May 8, 2021By 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 2

Addresses

Other names 1

• Bridget Straub Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Dynamic Chiro & PT LLC

  • Chiropractor
  • Pensacola, FL
  • NPI 1144098724
  NPD (past)
• Dynamic Pain & Wellness LLC

  • Anesthesiology Physician
  • Fort Walton Beach, FL
  • NPI 1285007989
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1780111773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 KILLARNEY DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718430",
            "telephone_number": "631-379-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 DOCTORS PARK",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705072",
            "telephone_number": "850-226-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13121 Atlantic Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322250102",
            "country_code": "US",
            "telephone_number": "904-221-2232",
            "fax_number": "844-273-0912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVICH",
        "first_name": "BRIDGET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020808",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "STRAUB",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Marie Boland, RBT
• Haley Aliah Bonoyer, RBT
• Christopher B Bookout, M.D.
• Neila Nicholson Bouchard, D.M.D.
• Devonn Lindsey Bourg, MSN, ARNP, FNP-C
• Boyette Home Health Services
• Terance Paul Bracey, RPH
• Aubrey M Bradley
• Gary Carl Bradley, R.PH.
• Mandy Nicole Bradshaw, PHARMD

• Physician Assistant in Milton, FL
• Providers in Milton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.