Individual provider Active NPI

Bridgit Nolan, MD

  • Dermatology Physician
  • Delray Beach, FL
National Provider Identifier
1801117338
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME118457 Issued in FL
Practice address
6140 W Atlantic Ave
Delray Beach, FL 33484-8409
Phone
(561) 498-4407
Fax
(561) 498-4480
NPI assigned
Jun 18, 2010
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME118457 FL Primary

Addresses

Primary practice location

6140 W Atlantic Ave
Delray Beach, FL 33484-8409

Mailing address

4475 Medical Center Way Ste 2
West Palm Beach, FL 33407-3240
Phone (561) 863-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bnolan@pbderm.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828002349 FL Practitioner - Dermatology 0446478770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach DermatologyGroup PAC ID 6709864218, 19 clinicians

Practice addresses (Care Compare)

701 Northpoint Pkwy
Suite 300
West Palm Beach, FL 33407-1957
Phone (561) 863-1000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2249
Removal or shaving of skin growth21
Skin biopsy3324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME118457FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PBD&P Inc Dermatology CurrentSince May 25, 2019 Accepting new patients

Locations

4475 Medical Center Way
Ste 2
West Palm Beach, FL 33407
Phone (561) 863-1000

701 Northpoint Pkwy
Ste 300
West Palm Beach, FL 33407
Phone (561) 863-1000

Interoperability endpoints

  • FHIR API: https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1801117338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 MEDICAL CENTER WAY STE 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073240",
            "telephone_number": "561-863-1000",
            "fax_number": "561-863-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848409",
            "telephone_number": "561-498-4407",
            "fax_number": "561-498-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "BRIDGIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME118457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bnolan@pbderm.emadirect.md",
            "affiliation": "N",
            "address_1": "6140 W Atlantic Ave",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334848409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.