Bridgewater Physicians

Primary specialty

SpecialistTaxonomy code 174400000X

License

MENTAL HEALTH Issued in NC

Legal business name

BRIDGEWATER PHYSICIANS

Practice address

221A Professional Cir
Morehead City, NC 28557-4303

Phone

(252) 240-1765

Fax

(252) 240-2873

NPI assigned

Nov 17, 2006

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Margaret Merrick, MD

Title

Owner

Phone

(252) 240-1765

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Bridgewater Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bridgewater Physicians, PA

  • Specialist
  • Morehead City, NC
  • NPI 1124049085
  NPD tax ID

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1992879662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221A PROFESSIONAL CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-240-1765",
            "fax_number": "252-240-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221A PROFESSIONAL CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-240-1765",
            "fax_number": "252-240-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-240-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "MENTAL HEALTH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005795",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MENTAL HEALTH GROUP",
            "identifier": "017X8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Grace Brazda, AUD
• Breakthrough Physical Therapy
• Jodi Lynn Brents, PSYD
• Rorie Brewer
• Robert Joseph Bridges, DPT
• Bridgewater Physicians, PA
• Lori Ann Bristol, MS, RN
• Danielle Elizabeth Broden-Nealey
• James Rogers Brooks
• Allison A Brown, PA

• Specialist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.