Individual provider Active NPI

Bridget Maureen Harrison, M.D., M.P.H.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1891923686
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104342 Issued in CA
Practice address
2400 Moorpark Ave Ste 318
Valley Medical Center Department of Medicine
San Jose, CA 95128-2625
Phone
(408) 885-7682
Fax
(408) 885-7174
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A104342 CA Primary

Addresses

Primary practice location

2400 Moorpark Ave Ste 318
Valley Medical Center Department of Medicine
San Jose, CA 95128-2625

Mailing address

330 N Mathilda Ave
#408
Sunnyvale, CA 94085-4204
Phone (408) 739-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091214000777 CA Practitioner - Family Practice 4385784800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indian Health Center of Santa Clara ValleyGroup PAC ID 1153406665, 37 clinicians
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1333 Meridian Ave
San Jose, CA 95125-5212
Phone 40844534003730

14251 Winchester Blvd
Suite 200
Los Gatos, CA 95032-1811
Phone (408) 426-5540

2410 Samaritan Dr
Suite 201
San Jose, CA 95124-3909
Phone (408) 371-9010

455 Oconnor Dr
Suite 210
San Jose, CA 95128-1632
Phone (408) 995-5453

50 E Hamilton Ave
Suite 280
Campbell, CA 95008-0273
Phone (408) 227-2646

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104342CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Health Center of Santa Clara Valley CurrentSince Apr 4, 2016 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Apr 4, 2016 Accepting new patients
University Healthcare Alliance CurrentSince Apr 11, 2016 Accepting new patients
Affinity Medical Group Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

14251 Winchester Blvd
#200
Los Gatos, CA 95032
Phone (408) 426-5540

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

455 Oconnor Dr
Ste 210
San Jose, CA 95128
Phone (408) 831-5744

2410 Samaritan Dr
Ste 201
San Jose, CA 95124
Phone (408) 371-9010

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

1333 Meridian Ave
San Jose, CA 95125

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

Interoperability endpoints

  • Direct secure messaging: bharrison34835@direct.stanfordhealthcare.org
  • Direct secure messaging: bharrison10717@santaclaravalley.direct-ci.net
  • Direct secure messaging: bharrison582778@direct.ochin.org

Organizations & group practices 6

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.

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1891923686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MATHILDA AVE",
            "address_2": "#408",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854204",
            "telephone_number": "408-739-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE STE 318",
            "address_2": "VALLEY MEDICAL CENTER DEPARTMENT OF MEDICINE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282625",
            "telephone_number": "408-885-7682",
            "fax_number": "408-885-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRIDGET",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.