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DR. TIFFANY BRIDGEMAN MD
NPI 1316528060
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 15, 2021PECOS Enrolled
121 DELKAB AVENUE, HOUSE STAFF ADMINISTRATION, BROOKLYN, NY 11201(718) 250-6604 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tiffany Bridgeman Md NPPES

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

DR. TIFFANY BRIDGEMAN MD (NPI 1316528060) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316528060
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TIFFANY BRIDGEMANCredential: MD
Location Address121 DELKAB AVENUE, HOUSE STAFF ADMINISTRATIONBrooklyn, NY 11201
Mailing Address121 Delkab Avenue, House Staff AdministrationBrooklyn, NY 11201
Phone(718) 250-6604
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1316528060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
121 DELKAB AVENUE, Brooklyn, NY 11201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tiffany Bridgeman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951882356
PECOS Enrollment IDI20260224003245
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.

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 Tiffany Bridgeman's NPI number?

The NPI number for Tiffany Bridgeman is 1316528060. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Tiffany Bridgeman located?

Tiffany Bridgeman practices at 121 Delkab Avenue House Staff Administration, Brooklyn, NY 11201. The listed phone number is (718) 250-6604.

What is Tiffany Bridgeman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tiffany Bridgeman enrolled in Medicare?

Yes. Tiffany Bridgeman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Bridgeman was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.