Primebridge Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIMEBRIDGE MEDICAL LLC

Practice address

1099 Mission Hills Dr Apt D
Greenwood, IN 46143-2219

Phone

(726) 210-8701

NPI assigned

Mar 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Manishreddy Vundyala, MD

Title

MD

Phone

(726) 210-8701

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1023965605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MISSION HILLS DR APT D",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461432219",
            "telephone_number": "726-210-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MISSION HILLS DR APT D",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461432219",
            "telephone_number": "726-210-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEBRIDGE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "VUNDYALA",
        "authorized_official_first_name": "MANISHREDDY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "726-210-8701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.