MEDICARE: WILLIAM BRIDGEMAN MD

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	208000000X	Pediatrics Physician	35.152642	OH
2	208000000X	Pediatrics Physician	60537	KY

General Provider Information

NPI Number	:	1891445938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BRIDGEMAN MD

Provider Business Mailing Address
First Line	:	3333 BURNET AVE # ML1013
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-3874
Fax Number	:	513-636-4404

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE # ML1013
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-3874
Fax Number	:

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

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	05/27/2026

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Directions to “ WILLIAM BRIDGEMAN MD” Practice Location

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