MEDICARE: BRIGID MEDICAL, LLC

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	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20251309202	OTHER	CO	TIN

General Provider Information

NPI Number	:	1902693872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGID MEDICAL, LLC

Provider Business Mailing Address
First Line	:	753 MALETA LN STE 101G
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7605
Country	:	US
Telephone Number	:	720-770-3919
Fax Number	:	720-598-9760

Provider Business Practice Location Address
First Line	:	753 MALETA LN STE 101G
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7605
Country	:	US
Telephone Number	:	720-770-3919
Fax Number	:	720-598-9760

Authorized Official
Title or Position	:	FOUNDER, PA-C
Name	:	JOCELYN CAVENDER
Credential	:	PA-C
Telephone Number	:	909-921-6873

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/23/2025

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