Eugene Bradford Baldridge

Emergency Medical Services Providence Little Company Of Mary Med Ctr Torrance NPI1255373924

Summary

About

Eugene Bradford Baldridge specialises in Emergency Medical Services. He currently works at Providence Little Company Of Mary Med Ctr Torrance in California.

Provider Details

NPI Number 1255373924
Provider Name Eugene Bradford Baldridge
Credential MD
Specialization Emergency Medical Services
Medical School Name Warren Alpert Medical School Of Brown University
Graduation Year 1986
Gender M
Entity Type Individual
PAC ID by PECOS 7012977747
Professional Enrollment ID I20041015000909
Enumeration Date 06/10/2006
Last Update Date 09/19/2012

Contact Details

Business Practice address 4101 TORRANCE BLVD, Torrance,
90503-4607 California View on Google Map
Business Practice phone 310-540-7676
Business Practice fax 405-751-3183
Mailing address 4401 W MEMORIAL RD, Oklahoma City,
73134-1785 Oklahoma View on Google Map
Other phone 405-751-4664
Other fax 405-751-3183
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Eugene Bradford Baldridge MD Update NPI

Hospital Affilitation

Providence Little Company Of Mary Med Ctr Torrance in Torrance

Torrance, California

Education & Training

Warren Alpert Medical School Of Brown University

Emergency Medical Services, 1986

Group Affiliation

Organization Name PECOS PAC ID Members
Emergency Specialist Physicians Medical Associates, Inc 2163329822 27

Public Reporting for Performance Scores

More Details

Final MIPS Score

87.96 out of 100

Score Breakdown

Quality Category Score 76.42
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 107
Source of Scores: group
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Primary Taxonomy
Taxonomy
License No.
G61732 (California)

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1255373924
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Baldridge
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Eugene
The first name of the provider, if the provider is an individual.
Provider Credential Text M.D.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address 4401 W MEMORIAL RD
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Oklahoma City
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name Oklahoma
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 73134-1785
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 405-751-4664
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 405-751-3183
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 4101 TORRANCE BLVD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Torrance
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name California
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 90503-4607
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 310-540-7676
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 405-751-3183
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 06/10/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 09/19/2012
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 207PE0004X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Healthcare Provider Taxonomy #1
Provider License Number 1 G61732
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 CA
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.