DR. HOLLY R BRIDEAU (MD) – Internal Medicine Physician, NPI 1316475320

DR. HOLLY R BRIDEAU (MD) is a healthcare provider. based in Cambridge, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 281544 (MA). The NPI Number for DR. HOLLY R BRIDEAU (MD) is 1316475320

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLY R BRIDEAU (MD)
NPI
1316475320
Phone
Not provided
Address
330 MOUNT AUBURN ST
Enumeration Date
3 June 2017
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
6174995070
Graduation Year
2017 (9 years ago)
PAC ID
1355612417
Group Practice PAC ID
4789653825
Professional Enrollment ID
I20220614000842
Address ID
MA021385502CA330XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

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Provider Addresses for DR. HOLLY R BRIDEAU (MD)

  • 330 MOUNT AUBURN ST

    CAMBRIDGE, MA 021385502

    Phone:

    Type: Mailing

  • Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023023308

    Phone: (508) 941-7210

    Type: Mailing

  • 330 MOUNT AUBURN STREET

    SOUTH-GROUND FLOOR, RADIOLOGY

    CAMBRIDGE, MA 021385502

    Phone: (617) 499-5070

    Fax: (617) 499-5193

    Type: Location

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220614000842IDiagnostic RadiologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view3931$0
70450Ct scan head or brain without contrast2927$0
71046X-ray of chest, 2 views2727$0
71275Ct scan of blood vessels of chest with contrast1313$0
74177Ct scan of abdomen and pelvis with contrast1212$0
View full utilization report →

Insurance plans in this area (ZIP 02138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789653825View full group profile
NameSpecialtyState
Diagnostic RadiologyMA
Diagnostic Radiology, Interventional RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
-MA
Diagnostic Radiology, Interventional RadiologyMA
Diagnostic Radiology, Interventional RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Diagnostic Radiology, Radiation OncologyMN

Reviews

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Frequently asked questions

What number should I use to identify DR. HOLLY R BRIDEAU (MD) for billing?
Administrative and clinical systems typically use NPI 1316475320 for DR. HOLLY R BRIDEAU (MD).
Does the public listing show DR. HOLLY R BRIDEAU (MD) as active?
DR. HOLLY R BRIDEAU (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. HOLLY R BRIDEAU (MD) does?
Insurance directories may phrase it differently, but here DR. HOLLY R BRIDEAU (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. HOLLY R BRIDEAU (MD) tied to Cambridge, Massachusetts?
If you are local to Cambridge, Massachusetts, DR. HOLLY R BRIDEAU (MD) may be relevant to your search.
Who maintains DR. HOLLY R BRIDEAU (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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