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BRIDGET BASILE IBRAHIM
NPI 1437587219
Nurse Practitioner - Family in Boston, MA

Active since October 14, 2013
1575 BLUE HILL AVE, MATTAPAN COMMUNITY HEALTH CENTER, BOSTON, MA 02126(617) 296-0061(617) 296-5408 Get Directions Write a Review

NPPES record last updated: October 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bridget Basile Ibrahim NPPES

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

BRIDGET BASILE IBRAHIM (NPI 1437587219) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN270470) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1437587219
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRIDGET BASILE IBRAHIM
Location Address1575 BLUE HILL AVE, MATTAPAN COMMUNITY HEALTH CENTERBoston, MA 02126-2122
Mailing Address1575 Blue Hill Ave, Mattapan Community Health CenterBoston, MA 02126-2122 · (617) 296-0061 · Fax (617) 296-5408
Phone(617) 296-0061
Fax(617) 296-5408
Sole ProprietorNo
Enumeration DateOctober 14, 2013
✔ NPI 1437587219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN270470
1575 BLUE HILL AVE, Boston, MA 02126
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Other Names 1

Former Name (1)Bridget Basile

Other Providers at the Same Location NPPES 20

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

SAMSON YU
Pharmacist
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
DR. MICHELLE DALENCOUR M.D.
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
CVS PHARMACY INC
Pharmacy
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 898-1282
ZHEN RUAN
Dental Hygienist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
DR. JASON LANIER OUTLAW DMD, DMSC
Dentist
1575 BLUE HILL AVE
BOSTON, MA 02126
Suffolk County (617) 296-0061
EMILY CASTELLANOS
Counselor (Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
MS. SHAUNTELLE MALCOLM RN
Nurse Practitioner (Psychiatric/Mental Health)
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061
VICTORIA ELENA OLIVA RAPOPORT MD
Family Medicine
1575 BLUE HILL AVE
MATTAPAN, MA 02126
Suffolk County (617) 296-0061

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 Bridget Basile Ibrahim's NPI number?

The NPI number for Bridget Basile Ibrahim is 1437587219. It was assigned to this individual provider in the NPPES registry on October 14, 2013. The provider is also known as Bridget Basile.

Where is Bridget Basile Ibrahim located?

Bridget Basile Ibrahim practices at 1575 Blue Hill Ave Mattapan Community Health Center, Boston, MA 02126. The listed phone number is (617) 296-0061.

What is Bridget Basile Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bridget Basile Ibrahim was last updated on October 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.