DR. GARY BRIDGWATER M.D.
NPI 1477505204
Specialist in Nisswa, MN

Q: What is Gary Bridgwater's NPI number?

The NPI number for Gary Bridgwater is 1477505204. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Gary Bridgwater's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Bridgwater was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 17, 2006

5898 NASHWAY RD, NISSWA, MN 56468(608) 334-4812 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gary Bridgwater M.d. NPPES

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

DR. GARY BRIDGWATER M.D. (NPI 1477505204) is an individual specialist in Nisswa, Minnesota, licensed in Minnesota (56147) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1477505204

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GARY BRIDGWATERCredential: M.D.

Location Address5898 NASHWAY RDNisswa, MN 56468-2358

Mailing Address5898 Nashway RdNisswa, MN 56468-2358 · (608) 334-4812

Phone(608) 334-4812

Sole ProprietorYes

Enumeration DateMay 17, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1477505204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MN · 56147

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5898 NASHWAY RD, Nisswa, MN 56468

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Other Identifiers 2

Other19957WI · Medical License

Other56147MN · Minnesota Medical License

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 Gary Bridgwater's NPI number?

The NPI number for Gary Bridgwater is 1477505204. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Gary Bridgwater located?

Gary Bridgwater practices at 5898 Nashway Rd, Nisswa, MN 56468. The listed phone number is (608) 334-4812.

What is Gary Bridgwater's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gary Bridgwater was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.