BRIDGEWATER SQUARE CHIROPRACTIC INC. (NPI# 1952422701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952422701 |
| Entity Type | Organization |
| Organization Name | BRIDGEWATER SQUARE CHIROPRACTIC INC. |
| Practice Address |
63 Main St Bridgewater MA 02324-1455 |
| Practice Telephone | 5086971831 |
| Practice Fax Number | 5086970882 |
| Mailing Telephone | 5086971831 |
| Mailing Fax Number | 5086970882 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | DR. KEVIN A. PERRY (OWNER) |
| Authorized Official Telephone | 5086970050 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2182 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS GROUP PROVIDER # | Y40043 | 01 |
| MA | TUFTS | 792311 | 01 |
| MA | AETNA | 2990813 | 01 |
| MA | HARVARD PILGRIM | 351229 | 01 |
| Street Address |
63 MAIN ST |
| City | BRIDGEWATER |
| State | MA |
| Zip Code | 02324-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720128127 | Kevin A Perry | Chiropractor | 63 Main St, Bridgewater, MA 02324-1455 | 2007-02-07 |
| 1255477378 | Robert A Prentky | Psychologist | 63 Main St, Suite 6, Bridgewater, MA 02324-1455 | 2007-01-29 |
| 1891831970 | Gary Dube | Psychologist | 63 Main St, Suite 6, Bridgewater, MA 02324-1455 | 2007-01-29 |
| 1366588410 | Ann Pimental | Counselor | 63 Main St, Suite 6, Bridgewater, MA 02324-1455 | 2007-01-29 |
| 1396753539 | Maria Stewart Moscaritolo | Social Worker | 63 Main St, Bridgewater, MA 02324-1455 | 2006-08-03 |
| 1417971656 | Nancy Moore | Social Worker | 63 Main St, Bridgewater, MA 02324-1455 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985176 | Heidi S Bonito | Counselor | 33 Indian Ridge, Bridgewater, MA 02324 | 2018-09-13 |
| 1518476779 | Takaaki Kodani | Student in an Organized Health Care Education/Training Program | 131 Summer Street, Bridgewater, MA 02324 | 2017-09-20 |
| 1750832861 | Isandra Andrade | Behavior Technician | 30 Easy Street, Bridgewater, MA 02324 | 2016-10-24 |
| 1639570435 | Joanne Mccarthy | Counselor | 792 Plymouth Street, Bridgewater, MA 02324 | 2014-09-11 |
| 1932530011 | Michelle Courcy | Registered Nurse | 796 Pleasant Street, Bridgewater, MA 02324 | 2013-11-27 |
| 1750664942 | Richard Arthur Cannizzo Jr. | Pharmacist | 4 Central Square, Walgreens Pharmacy, Bridgewater, MA 02324 | 2011-09-23 |
| 1164714481 | Cslee, Dmd,mmsc,pllc | Dentist | 555 Bedford St, Unit 3, Bridgewater, MA 02324 | 2011-05-04 |
| 1790097228 | Amy B Mills | Pharmacist | 233 Broad Street, Bridgewater, MA 02324 | 2010-07-13 |
| 1720304157 | Kathleen Marie Weygand | Behavioral Analyst | 215 Boxwood Lane, Bridgewater, MA 02324 | 2010-04-09 |
| 1548585078 | Jhilam Biswas | Psychiatry & Neurology | 20 Admin Rd, Bridgewater, MA 02324 | 2010-03-27 |
| Find all providers in zip 02324 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1578027975 | Chinne Health Systems LLC | Clinic/Center | 330 Lynnway Ste 112, Lynn, MA 01901-1706 | 2019-01-30 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEWATER |
| Zip Code | 02324 |
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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.