Individual provider Active NPI

Brigid Dewitt O'Gorman, MD

  • Internal Medicine Physician
  • Eden, NY
National Provider Identifier
1851889992
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
301295 Issued in NY
Practice address
8724 N. Main Street
Eden, NY 14057
Phone
(716) 725-8114
NPI assigned
Apr 24, 2018
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 301295 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 301295 NY

Addresses

Primary practice location

8724 N. Main Street
Eden, NY 14057

Mailing address

8274 N Main St
Eden, NY 14057-1104
Phone (716) 575-7282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220613000624 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0042564288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
State University of New York at Buffalo School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Eden Primary CareGroup PAC ID 2860870318, 3 clinicians

Practice addresses (Care Compare)

8274 N Main St
Eden, NY 14057-1104
Phone (716) 725-8114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301295NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Primary Care Internal Medicine CurrentSince Apr 4, 2022 Accepting new patients

Locations

8274 N Main St
Eden, NY 14057
Phone (716) 575-7282

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1851889992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8274 N MAIN ST",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571104",
            "telephone_number": "716-575-7282",
            "fax_number": "716-899-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8724 N. MAIN STREET",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "14057",
            "telephone_number": "716-725-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GORMAN",
        "first_name": "BRIGID",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301295",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "301295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NY

Sources for this page

Verify at the official NPI Registry.