BRIDGEWELL MEDICAL, INC.
BRIDGEWELL MEDICAL, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073080313, based in Boise, ID. The organization lists 2 taxonomy classifications, with Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist recorded as primary.
Getting there
The practice address on file is 800 W MAIN ST SUITE 1460, Boise, ID 83702. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8527490283
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist covers
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. NUCC Health Care Provider Taxonomy, code 1835P0018X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | primary |
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1073080313 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 24, 2018 |
| Last updated | Jul 29, 2023 |
| Status | Active |
| Practice address |
800 W MAIN ST SUITE 1460 Boise, ID 83702 (208) 505-1179 |
| Mailing address |
PO BOX 6795 Boise, ID 83707 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 0 | 8 | 0 | 3 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 0 | 8 | 0 | 3 | 2 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.