Healthcare Provider Details

I. General information

NPI: 1235083254
Provider Name (Legal Business Name): BRIDGMAN'S CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BOSTON RD
SOUTHBOROUGH MA
01772-1669
US

IV. Provider business mailing address

21 BOSTON RD
SOUTHBOROUGH MA
01772-1669
US

V. Phone/Fax

Practice location:
  • Phone: 508-397-2072
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD BRIDGMAN
Title or Position: PRESIDENT
Credential:
Phone: 508-397-2072