Provider Demographics
NPI:1548245376
Name:HILLIARD, BRIDGET A (MD)
Entity type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:A
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:HUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:1777 5TH AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2632
Practice Address - Country:US
Practice Address - Phone:717-843-8051
Practice Address - Fax:717-846-0721
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0081240207Q00000X
PAMD427456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherINTERGROUP
PA25-1716306OtherFIRST HEALTH
PA25-1716306OtherMULTIPLAN/PHCS
PAP00404188OtherRAILROAD MEDICARE
PA183151OtherUNISON
PA120420401OtherDEPT OF LABOR
PA25-1716306OtherINFORMED
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA50060675OtherCAPITAL BLUECROSS
PAMD427456OtherLICENSE
PA1227085OtherAETNA HMO
PA1536136OtherGATEWAY
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherGREATWEST
PA2146875OtherMAMSI
PA25-1716306OtherDEVON
PA436038OtherHEALTH AMERICA
PA7267772OtherAETNA NON-HMO
PAG920-0107/25RXCUOtherCAREFIRST
PA101545713 0002Medicaid
PA867633OtherMEDICARE GROUP #
PAHI847030OtherHIGHMARK BLUE SHIELD
PAHI847030OtherHIGHMARK BLUE SHIELD
PA7267772OtherAETNA NON-HMO
PA101545713 0002Medicaid