BRIDGEWATER PEDIATRICS LLC
NPI 1255579975
Pediatrics in Bridgewater, MA

Active since February 03, 2009CLIA 22D1098372 · Microscopy
1029 PLEASANT ST, SUITE 100, BRIDGEWATER, MA 02324(508) 697-8116(508) 697-8117 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridgewater Pediatrics Llc NPPES

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

BRIDGEWATER PEDIATRICS LLC (NPI 1255579975) is a healthcare organization registered as a pediatrics in Bridgewater, Massachusetts and active in the NPI registry since February 2009. The organization holds a CLIA Microscopy certificate valid through April 16, 2027 and lists Fred D Kern, Managing Owner, as its authorized official.

NPPES Registry Identity

NPI1255579975
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRIDGEWATER PEDIATRICS LLC
Location Address1029 PLEASANT ST, SUITE 100Bridgewater, MA 02324
Mailing Address1029 Pleasant St, Suite 100Bridgewater, MA 02324 · (508) 697-8116 · Fax (508) 697-8117
Fax(508) 697-8117
Organization SubpartNo
Authorized OfficialFred D KernManaging Owner · (508) 697-8116
Enumeration DateFebruary 3, 2009
Last NPPES UpdateAugust 10, 2016
NPI 1255579975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MA · 57747
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1029 PLEASANT ST, Bridgewater, MA 02324

Other Identifiers 2

Medicare UPINE01880MA
OtherJ06281Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D1098372

Bridgewater Pediatrics, LLC · Bridgewater, MA
Active · expires Apr 16, 2027
CLIA Number22D1098372
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorFred D. Kern
Laboratory Phone(508) 697-8116
Laboratory LocationBridgewater Pediatrics, LLC1029 Pleasant St, Bridgewater, MA 02324
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
1029 PLEASANT ST, SUITE 103
BRIDGEWATER, MA 02324
Nurse Practitioner (Pediatrics)
1029 PLEASANT ST, BRIDGEWATER PEDIATRICS
BRIDGEWATER, MA 02324
Nurse Practitioner (Pediatrics)
1029 PLEASANT ST, SUITE 100
BRIDGEWATER, MA 02324
Clinic/Center (Mental Health (Including Community Mental Health Center))
1029 PLEASANT ST
BRIDGEWATER, MA 02324
Pediatrics
1029 PLEASANT ST, SUITE 100
BRIDGEWATER, MA 02324
Obstetrics & Gynecology
1029 PLEASANT ST
BRIDGEWATER, MA 02324
Registered Nurse
1029 PLEASANT ST
BRIDGEWATER, MA 02324
Nurse Practitioner (Family)
1029 PLEASANT ST, SUITE 100
BRIDGEWATER, MA 02324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgewater Pediatrics LLC's NPI number?

The NPI number for Bridgewater Pediatrics LLC is 1255579975. It was assigned to this organization in the NPPES registry on February 3, 2009.

Where is Bridgewater Pediatrics LLC located?

Bridgewater Pediatrics LLC is located at 1029 Pleasant St Suite 100, Bridgewater, MA 02324. The listed phone number is (508) 697-8116.

What is Bridgewater Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Bridgewater Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1098372) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bridgewater Pediatrics LLC was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.