Christian H Bridgwater in Fort Wayne - Emergency Medicine

Christian H Bridgwater - NPI 1205821626

Christian H Bridgwater is a Emergency Medicine in Fort Wayne, Indiana. Christian H Bridgwater practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Christian H Bridgwater is 1205821626. The last update date is 2013-04-16.

Christian H Bridgwater's current location address is 3640 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604824440 and fax number 2604824442. The mailing address for Christian H Bridgwater is 3640 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Christian H Bridgwater
Address 3640 New Vision Dr, Fort Wayne, Indiana
Phone Number 2604824440
Fax Number 2604824442
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1205821626
Provider Enumeration Date 2005-09-12
Last Updated Date 2013-04-16

Provider Mailing Address Detail

Address 3640 New Vision Dr
City Fort Wayne
State Indiana (IN)
Post Code 468451716
Phone Number 2604824440
Fax Number 2604824442

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 02002921A
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
364928 IN ANTHEM
2571659 OH --
31000 MPLAN
114874623 MI --
200519810 IN --

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FAQs about Christian H Bridgwater

What is the unique 10-digit identification code issued to Christian H Bridgwater by the Centers for Medicare & Medicaid Services?

The Christian H Bridgwater has been assigned the NPI (National Provider Identifier) 1205821626 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Christian H Bridgwater's facilities are geographically located?

The facilities of Christian H Bridgwater are physically situated at the following location: 3640 New Vision Dr, Fort Wayne, IN, 468451716.

What is Christian H Bridgwater's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Christian H Bridgwater's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

When did Christian H Bridgwater receive its 1205821626 assignment?

The Christian H Bridgwater was assigned its 1205821626 on 2005-09-12, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Christian H Bridgwater most recently updated or revised?

The information pertaining to Christian H Bridgwater, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-16.

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