Individual
BRIDGET A BAGERT
Active
Individual
BRIDGET A BAGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
222449
MA
2084N0400X
Neurology Physician
Primary
MD.202001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605813
—
MS
05
—
1141631
—
LA
05
—
2110407
—
MA
01
—
AA44629
HPHC
MA
01
—
J29395
BCBSMA
MA
Enumeration date
04/21/2006
Last updated
11/05/2010
Update your record
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