Organization Active NPI

Bridges of Wilmington

  • Case Management Agency
  • Wilmington, NC
National Provider Identifier
1083876049
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BRIDGES OF WILMINGTON
Practice address
202 S 5TH Ave.
C-4
Wilmington, NC 28401
Phone
(910) 762-1733
Fax
(910) 762-1766
NPI assigned
Jun 30, 2008
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Voni Michelle Goodson-Simpson
Title
Owner/Executive Director
Phone
(910) 762-1733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

202 S 5TH Ave.
C-4
Wilmington, NC 28401

Mailing address

202 S 5TH Ave.
C-4
Wilmington, NC 28401
Phone (910) 762-1733

Other names 1

  • BRIDGES of Wilmington Other name

National Provider Directory

National Provider Directory

Locations

3951B Market St
Wilmington, NC 28403

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1083876049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 5TH AVE.",
            "address_2": "C-4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-1733",
            "fax_number": "910-762-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 5TH AVE.",
            "address_2": "C-4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-1733",
            "fax_number": "910-762-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES OF WILMINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "GOODSON-SIMPSON",
        "authorized_official_first_name": "VONI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-762-1733"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGES of Wilmington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.