Drawbridge Medical, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

DRAWBRIDGE MEDICAL, LLC

Practice address

160 Versailles Rd
Frankfort, KY 40601-3208

Phone

(678) 486-7340

Fax

(678) 305-0531

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Hayes

Title

Business Development Executive

Phone

(678) 486-7340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1033502877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 HIGHLANDS PKWY SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825142",
            "telephone_number": "678-486-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013208",
            "telephone_number": "678-486-7340",
            "fax_number": "678-305-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAWBRIDGE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT EXECUTIVE",
        "authorized_official_telephone_number": "678-486-7340"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.