Provider Demographics
NPI:1073540464
Name:O'ROURKE, BRIDGET ANNE (MD)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ANNE
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, SUITE 001
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:724-935-8376
Practice Address - Street 1:2400 CORPORATE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7645
Practice Address - Country:US
Practice Address - Phone:724-935-4700
Practice Address - Fax:724-935-8376
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10007360207Q00000X
PAMD422569207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018691950001Medicaid
PA1944752OtherHIGHMARK
PA1944752OtherHIGHMARK
PA1018691950001Medicaid
PA111602Medicare PIN