Provider Demographics
NPI:1932135852
Name:COTTRILL SKINNER, BRIDGET YVONNE (MD)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:YVONNE
Last Name:COTTRILL SKINNER
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 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-446-5381
Mailing Address - Fax:740-446-5082
Practice Address - Street 1:90 JACKSON PIKE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1560
Practice Address - Country:US
Practice Address - Phone:740-446-5381
Practice Address - Fax:740-446-5082
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-9206207V00000X
WV20137207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
001714094OtherMOUNTAIN STATE BCBS
000000006764OtherANTHEM BCBS
OH2032722OtherMOLINA MEDICAID #
OH000000181781OtherUNISON MEDICAID #
WV0093551000Medicaid
OH310917085038OtherCARESOURCE MEDICAID #
OH160033517OtherRR MEDICARE
OH2032722Medicaid
000000006764OtherANTHEM BCBS
OH2032722OtherMOLINA MEDICAID #
OH160033517OtherRR MEDICARE