BRIDGET IONE PETERSON PA-C
NPI 1063514628
Physician Assistant - Surgical in Norwalk, CT

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since September 03, 2006PECOS Enrolled

34 MAPLE ST, NORWALK, CT 06850(203) 852-2188 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bridget Ione Peterson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGET IONE PETERSON PA-C (NPI 1063514628) is an individual surgical provider in Norwalk, Connecticut, licensed in Connecticut (001806) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063514628

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameBRIDGET IONE PETERSONCredential: PA-C

Location Address34 MAPLE STNorwalk, CT 06850-3815

Mailing Address37-39 Ferris Ave, Apt. 16Norwalk, CT 06854-1551 · (720) 840-8839

Phone(203) 852-2188

Sole ProprietorNo

Enumeration DateSeptember 3, 2006

Last NPPES UpdateDecember 8, 2010

✔ NPI 1063514628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CT · 001806

34 MAPLE ST, Norwalk, CT 06850

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Other Identifiers 2

Medicare UPINQ66725CT

Other001806CT · License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridget Ione Peterson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.