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NPI Code Detail

MEDICARE: RICHARD BRIDBURG M.D.

MEDICARE:   RICHARD  BRIDBURG  M.D.
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
12084P0800XPsychiatry Physician011815CT

Other Identifiers

General Provider Information

NPI Number : 1619062700
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD BRIDBURG M.D.
Provider Business Mailing Address
First Line : 995 DAY HILL RD
Second Line :
City : WINDSOR
State : CT
Zip : 06095-1722
Country : US
Telephone Number : 890-731-5522
Fax Number : 860-731-5536
Provider Business Practice Location Address
First Line : 444 CENTER ST
Second Line :
City : MANCHESTER
State : CT
Zip : 06040-3926
Country : US
Telephone Number : 860-646-3888
Fax Number : 860-645-4132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 01/18/2026

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Directions to “ RICHARD BRIDBURG M.D.” Practice Location

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