Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridgecare Provider Group MA, PLLC

Organization Nurse Practitioner · NPI 1679366298

Bridgecare Provider Group MA, PLLC is a Nurse Practitioner in Concord, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 Old Road To 9 Acre Cor
Concord, MA 01742-3317
Phone: (551) 337-3278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1679366298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marivic Vanover — Vice President Of Operation · (856) 448-3533
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address57 Old Road To 9 Acre Cor, Concord, MA 01742-3317

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