National Provider Identifier

Brigid Dewitt O'Gorman, MD

Brigid Dewitt O'Gorman, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Eden, NY and a listed phone number of (716) 725-8114.

NPI 1851889992Eden, NYInternal Medicine Physician

Profile Overview

NPI
1851889992
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
April 24, 2018
Last Updated
August 08, 2022

Practice Location

  • 8724 N. Main Street
  • Eden, NY 14057

Phone: (716) 725-8114

Mailing Address

  • 8274 N Main St
  • Eden, NY 14057-1104

Specialties

  • Internal Medicine Physician (207R00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1851889992
Entity Type
Individual
Last Name
O'Gorman
First Name
Brigid
Middle Name
Dewitt
Name Prefix
Dr.
Credential
MD
Mailing Street Address
8274 N Main St
Mailing City
Eden
Mailing State
NY
Mailing ZIP Code
14057-1104
Mailing Country
US
Mailing Phone
(716) 575-7282
Practice Street Address
8724 N. Main Street
Practice City
Eden
Practice State
NY
Practice ZIP Code
14057
Practice Country
US
Practice Phone
(716) 725-8114
Enumeration Date
April 24, 2018
Last Updated
August 08, 2022
Sex
Female
Sole Proprietor
No
Certification Date
August 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)