Active NPIIndividual provider

Ms. Kimberly R Bridgham, MED

Developmental Therapist in Pittsfield, Massachusetts

NPI Number1861677395
Practice location
388 Columbus Avenue Ext, Pittsfield, MA 01201-4903
Fax
413-448-8223
Last updated
January 3, 2008

Kimberly Ruth Bridgham is a Developmental Therapist based in Pittsfield, MA. Kimberly Ruth Bridgham practices in Pittsfield, MA and has the professional credentials of MED. The NPI Number for Kimberly Ruth Bridgham is 1861677395 and holds a License No. 0051 (MA). The current practice location address for Kimberly Ruth Bridgham is 388 Columbus Avenue Ext, Pittsfield, MA 01201-4903 and can be reached out via phone at 413-499-4537 and via fax at 413-448-8223.

Provider Profile Details

NPI Number
1861677395
Provider Name
Kimberly Ruth Bridgham
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
388 Columbus Avenue Ext, Pittsfield, MA 01201-4903
Phone Number
413-499-4537
Fax Number
413-448-8223
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2008
Last Update Date
January 3, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
388 Columbus Avenue Ext
Pittsfield, MA 01201-4903
Zip
01201-4903
Phone Number
413-499-4537
Fax Number
413-448-8223
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
388 Columbus Avenue Ext
Pittsfield, MA 01201-4903
City
Pittsfield
State
MA
Zip
01201-4903
Phone Number
413-499-4537
Fax Number
413-448-8223

License Information

License Number
0051
License State
MA
Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kimberly R Bridgham, MED?

The NPI number of Ms. Kimberly R Bridgham, MED is 1861677395. It was assigned on January 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Kimberly R Bridgham, MED?

Ms. Kimberly R Bridgham, MED is registered under the primary taxonomy Developmental Therapist (code 222Q00000X), licensed in MA under license number 0051.

Where does Ms. Kimberly R Bridgham, MED practice?

The practice location is 388 Columbus Avenue Ext, Pittsfield, MA 01201-4903. The office can be reached at 413-499-4537 (phone) or 413-448-8223 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861677395 directly on the NPPES registry website.

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