Active NPI
Bridgett Noel Urban, D.C.
- Chiropractor
- Port Clinton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2215
- Practice address
- 3958 Harbor Light Landing
Port Clinton, OH 43452 - Phone
- (419) 734-5353
- Fax
- (419) 732-0702
- NPI assigned
- Jul 5, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2215 | OH | Primary |
Addresses
Primary practice location
3958 Harbor Light Landing
Port Clinton, OH 43452
Mailing address
3958 Harbor Light Landing
Port Clinton, OH 43452
Phone (419) 734-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099349 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120418000418 | OH | Practitioner - Chiropractic | 6901067958 | Practice locations: Port Clinton, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Chiropractic Institute of New York, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3958 E Harbor Light Landing Dr
Port Clinton, OH 43452-3876
Phone (330) 360-2225
3958 Harbor Light Landing
Port Clinton, OH 43452-3876
Hospital & facility affiliations
- Magruder Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2215 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brideget N Urban DC LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Port Clinton, OH
- NPI 1730689837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Port Clinton, OH
- NPI 1922079532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1851398952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3958 HARBOR LIGHT LANDING",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "43452",
"telephone_number": "419-734-5353",
"fax_number": "419-557-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3958 HARBOR LIGHT LANDING",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "43452",
"telephone_number": "419-734-5353",
"fax_number": "419-732-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "BRIDGETT",
"middle_name": "NOEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2099349",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.