Bridgewell LLC
NPI 1972296382 · Primary Care Nurse Practitioner · Bolingbrook, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridgewell LLC is a Primary Care Nurse Practitioner organization in Bolingbrook, IL (NPI 1972296382).
Provider details
- NPI number
- 1972296382
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Isoken Ogbomo, Nurse Practitioner(312) 451-6418
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Bridgewell LLC's NPI number?
- Bridgewell LLC's National Provider Identifier (NPI) is 1972296382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgewell LLC?
- Bridgewell LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bridgewell LLC located?
- Bridgewell LLC's practice location on file with NPPES is 402 W Boughton Rd Ste a, Bolingbrook, IL 60440-1998.
- What is Bridgewell LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgewell LLC is (312) 451-6148.
- Does Bridgewell LLC accept Medicare?
- Bridgewell LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bridgewell LLC?
- The authorized official listed on Bridgewell LLC's NPPES record is Isoken Ogbomo, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgewell LLC's NPI active?
- Yes — Bridgewell LLC's NPI (1972296382) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.