Provider Demographics
NPI:1902693872
Name:BRIGID MEDICAL, LLC
Entity type:Organization
Organization Name:BRIGID MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, PA-C
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVENDER
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:909-921-6873
Mailing Address - Street 1:753 MALETA LN STE 101G
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-7605
Mailing Address - Country:US
Mailing Address - Phone:720-770-3919
Mailing Address - Fax:720-598-9760
Practice Address - Street 1:753 MALETA LN STE 101G
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-7605
Practice Address - Country:US
Practice Address - Phone:720-770-3919
Practice Address - Fax:720-598-9760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20251309202OtherTIN