Organization Active NPI

Bridget P. Early, MD, LLC

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1861473134
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
104142 Issued in MO
Legal business name
BRIDGET P. EARLY, MD, LLC
Practice address
2100 E Broadway Ste 108
Columbia, MO 65201-6082
Phone
(573) 657-7330
Fax
(573) 657-1772
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Dr. Bridget P Early, M.D.NPI 1710968201
Title
Owner/Physician
Phone
(573) 657-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 104142 MO Primary

Addresses

Primary practice location

2100 E Broadway Ste 108
Columbia, MO 65201-6082

Mailing address

2100 E Broadway Ste 108
Columbia, MO 65201-6082
Phone (573) 657-7330

Other identifiers 1

IdentifierTypeStateIssuer
507374205MedicaidMO

Other names 1

  • Namaste Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000136 MO Part B Supplier - Clinic/Group Practice 1759306277 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1043765Namaste Health Care2100 E Broadway, Ste 108, Columbia, MO 65201Provider-performed microscopyAug 1, 2027

National Provider Directory

National Provider Directory

Locations

504 E Broadway
Ste A
Ashland, MO 65010
Phone (573) 657-7330

2100 E Broadway
Ste 108
Columbia, MO 65201
Phone (571) 438-5376

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1861473134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E BROADWAY STE 108",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016082",
            "telephone_number": "573-657-7330",
            "fax_number": "573-657-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E BROADWAY STE 108",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016082",
            "telephone_number": "573-657-7330",
            "fax_number": "573-657-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET P. EARLY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "EARLY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "573-657-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "104142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507374205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Namaste Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Namaste Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.

Verify at the official NPI Registry.