DR. PHILLIP MOSES BRIDGMAN (NPI# 1598829582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598829582 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP MOSES BRIDGMAN |
| Credential | M.D. |
| Practice Address |
50 Leroy Street Potsdam NY 13676 |
| Mailing Address |
1111 Patterson St Ogdensburg NY 13669-3840 |
| Practice Telephone | 3152653300 |
| Mailing Telephone | 3153939113 |
| Mailing Fax Number | 3153939127 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
166862-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 166862-1 | 01 |
| Street Address |
50 LEROY STREET |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568548782 | Canton-potsdam Hospital | General Acute Care Hospital | 50 Leroy Street, Potsdam, NY 13676 | 2006-10-31 |
| 1477906667 | Jessica Erin Martin | Physician Assistant | 50 Leroy Street, Potsdam, NY 13676-1799 | 2016-07-22 |
| 1679903421 | Claudia L Meneses | Nurse Practitioner | 50 Leroy Street, Potsdam, NY 13676 | 2013-11-14 |
| 1114104445 | Canton-potsdam Hospital | Medicare Defined Swing Bed Unit | 50 Leroy Street, Potsdam, NY 13676 | 2008-01-29 |
| 1235297268 | Spurgeon Scott Smith | Pathology | 50 Leroy Street, Canton Potsdam Hospital, Potsdam, NY 13676 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376945139 | Faisal Huq Ronny | Pathology | 227 Madison St Rm No4.170, New York, NY 10002-7537 | 2014-09-23 |
| 1457790859 | Smita Chirag Patel | Pathology | 622 W 168th St Ph 15, New York, NY 10032 | 2013-06-19 |
| 1609135573 | Daniel A Green | Pathology | 622 W 168th St Dept Of, New York, NY 10032-3720 | 2012-05-11 |
| 1770726994 | Pin Kie Teng | Pathology | 70-20 Ingram Street, Forest Hills, NY 11375 | 2009-04-17 |
| 1629262522 | Joseph James Woods | Pathology | 482 Manchester Rd, Yorktown Heights, NY 10598-1204 | 2007-09-04 |
| 1528281821 | Western New York Urology Associates LLC | Pathology | 2732 Transit Rd, West Seneca, NY 14224-2523 | 2007-04-11 |
| 1164537338 | Yong Mei Yin | Pathology | 141 Combs Ave, Woodmere, NY 11598-1432 | 2006-08-20 |
| 1134159494 | Joel H Saltz | Pathology | Bst Level 9 Rm 140, Stony Brook, NY 11794-8691 | 2006-07-03 |
| 1861431777 | Pradeep Prasad Dhital | Pathology | 900 Franklin Avenue, Valley Stream, NY 11580-4164 | 2006-06-06 |
| 1356389449 | Morayma Reyes Gil | Pathology | 111 E 210th St # 303, Bronx, NY 10467-2401 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.