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

Brigid B Bautista, MD

Individual provider Psychiatry Physician · NPI 1770639080

Brigid B Bautista, MD is a Psychiatry in Phila, Pennsylvania. Graduated from Saint Louis University School of Medicine in 1985, 41 years ago. Practices with Eastern Pennsylvania Physician Alliance, LLC, a 110-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
41
Trained at
Saint Louis University School of Medicine
Licensed in
PA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

561 Fairthorne Ave
Phila, PA 19128-2412
Phone: (215) 487-4164
Fax: (267) 338-2272
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD072209L (PA)

Record details

NPI number1770639080
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2007
Last updated in NPPESMarch 23, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Eastern Pennsylvania Physician Alliance, Llc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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