Bridges to Wellness Centre LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BRIDGES TO WELLNESS CENTRE LLC

Practice address

12522 Great Park Cir Apt 303
Germantown, MD 20876-5985

Phone

(848) 220-6659

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Tammy L Cooper, CRNPNPI 1720109846

Title

Ceo/Founder

Phone

(848) 220-6659

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Lyvonne Cooper, APN-C

  • Adult Health Nurse Practitioner
  • Germantown, MD
  • NPI 1720109846

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1083320899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2718",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208752718",
            "telephone_number": "848-220-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12522 GREAT PARK CIR APT 303",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765985",
            "telephone_number": "848-220-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES TO WELLNESS CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "848-220-6659",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kia Braithwaite
• Patricia Braun, LCSW-C
• Jared D Braverman, ATC
• Brian P Krandell DDS PA
• Brian Y. Kim, D.O., P.a.
• Brighter Days TMS, LLC
• Brightpath One
• Michelle Briner
• Ida H. Britton
• Lindsey Brodrick, MA SLP-CF

• Primary Care Clinic/Center in Germantown, MD
• Providers in Germantown, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.