MEDICARE: BRIGID C MERRITT LM, CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	LM755	CA

General Provider Information

NPI Number	:	1609671189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIGID C MERRITT LM, CPM

Provider Business Mailing Address
First Line	:	4512 HAWLEY BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92116-3401
Country	:	US
Telephone Number	:	619-822-8384
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 CAMINO DEL RIO S STE 109
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4007
Country	:	US
Telephone Number	:	619-297-2229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2025
Last Update Date	:	02/18/2025

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