BRIDGEWELL LLC
NPI 1972296382
Nurse Practitioner - Primary Care in Bolingbrook, IL
About Bridgewell Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGEWELL LLC (NPI 1972296382) is a healthcare organization registered as a primary care in Bolingbrook, Illinois and active in the NPI registry since May 2023. The organization lists Isoken Ogbomo, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridgewell Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bridgewell LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bridgewell LLC's NPI number?
The NPI number for Bridgewell LLC is 1972296382. It was assigned to this organization in the NPPES registry on May 31, 2023.
Where is Bridgewell LLC located?
Bridgewell LLC is located at 402 W Boughton Rd Ste A, Bolingbrook, IL 60440. The listed phone number is (312) 451-6148.
What is Bridgewell LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Bridgewell LLC enrolled in Medicare?
Yes. Bridgewell LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bridgewell LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bridgewell LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bridgewell LLC was last updated on September 1, 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.
# Bridgewell Llc · NPI 1972296382
Primary Care organization in Bolingbrook, Illinois. Organization record, active in the CMS NPPES registry since May 31, 2023.
## Identity
- **NPI:** 1972296382 (Entity type: Organization)
- **Enumerated:** May 31, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Isoken Ogbomo, NURSE PRACTITIONER
## Practice location
- **Address:** 402 W BOUGHTON RD STE A, Bolingbrook, IL 60440-1998
- **Phone:** (312) 451-6148
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1972296382) · Data from the CMS NPPES public registry.