Active NPI
Bridge Manifest Community Enrichment Center, Inc
- Community/Behavioral Health Agency
- Tarboro, NC
National Provider Identifier
1063330728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BRIDGE MANIFEST COMMUNITY ENRICHMENT CENTER, INC
- Practice address
- 319 W Northern Blvd
Tarboro, NC 27886-2452 - Phone
- (252) 343-7002
- Fax
- (252) 343-7002
- NPI assigned
- Jul 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Tremayne Powell
- Title
- Ceo
- Phone
- (252) 343-7002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| VA Clinic/Center | 261QV0200X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Assisted Living Facility | 310400000X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
319 W Northern Blvd
Tarboro, NC 27886-2452
Mailing address
319 W Northern Blvd
Tarboro, NC 27886-2452
Phone (252) 343-7002
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Phlebotomy Technician
- Tarboro, NC
- NPI 1346190105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1063330728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 W NORTHERN BLVD",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862452",
"telephone_number": "252-343-7002",
"fax_number": "252-343-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 W NORTHERN BLVD",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862452",
"telephone_number": "252-343-7002",
"fax_number": "252-343-7002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE MANIFEST COMMUNITY ENRICHMENT CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "TREMAYNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-343-7002"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.