Jean L Bridwell (NPI# 1104992965, PAC ID# 0446591929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104992965 |
| PAC ID by PECOS | 0446591929 |
| Professional Enrollment ID | I20190410001180 |
| Full Name | Jean L Bridwell |
| Organization Legal Name | JEFFERSON URGENT CARE LLC |
| Address |
84 Somerset Blvd Charles Town WV 25414-4827 |
| Phone Number | 3047288533 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315859535 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 84 Somerset Blvd, Charles Town, WV 25414-4827 | 3047288533 | JEFFERSON URGENT CARE LLC |
| 116 E 3rd Ave, Ranson, WV 25438-1641 | 3047247200 | EAST MOUNTAIN HEALTH PHYSICIANS INC |
| Organization Legal Name | JEFFERSON URGENT CARE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Salser | Physician Assistant | Jefferson Urgent Care LLC | 84 Somerset Blvd, Charles Town, WV 25414-4827 |
| Peggy L Carlson | Emergency Medicine | Jefferson Urgent Care LLC | 84 Somerset Blvd, Charles Town, WV 25414-4827 |
| Sean Patrick Rhoads | Physician Assistant | Jefferson Urgent Care LLC | 84 Somerset Blvd, Charles Town, WV 25414-4827 |
| Street Address |
84 SOMERSET BLVD |
| City | CHARLES TOWN |
| State | WV |
| Zip | 25414-4827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Salser | Physician Assistant | Jefferson Urgent Care LLC | 84 Somerset Blvd, Charles Town, WV 25414-4827 |
| Peggy L Carlson | Emergency Medicine | Jefferson Urgent Care LLC | 84 Somerset Blvd, Charles Town, WV 25414-4827 |
| Sean Patrick Rhoads | Physician Assistant | Jefferson Urgent Care LLC | 84 Somerset Blvd, Charles Town, WV 25414-4827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee R Moore Jr. | Optometry | 311 Prospect Ave, Charles Town, WV 25414-1137 | |
| Adrienne Zavala | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
| Taylor Dodd Guyer | Nurse Practitioner | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
| Garth Bradford Wright | Orthopedic Surgery | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 101, Charles Town, WV 25414-3952 |
| George D Harris | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 101, Charles Town, WV 25414-3952 |
| Rosemarie C Lorenzetti | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
| David Roelkey | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
| Amanda Giuliani Mills | Nurse Practitioner | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
| Priyankar Sharma | Emergency Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
| Daniel R Grant | Orthopedic Surgery | West Virginia University Medical Corporation | 912 Somerset Blvd, Charles Town, WV 25414-3952 |
| Find all physicians in zip 25414 | |||
| City | CHARLES TOWN |
| Zip Code | 25414 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLES TOWN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.