Jenna Lea Bridgewater, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007379 Issued in CO

Practice address

2155 Hollow Brook Dr
Suite 70
Colorado Springs, CO 80918-1451

Phone

(719) 445-0806

Fax

(719) 445-0998

NPI assigned

Feb 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1114385788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DR",
            "address_2": "SUITE 70",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181451",
            "telephone_number": "719-445-0806",
            "fax_number": "719-445-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DR",
            "address_2": "SUITE 70",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181451",
            "telephone_number": "719-445-0806",
            "fax_number": "719-445-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEWATER",
        "first_name": "JENNA",
        "middle_name": "LEA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007379",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "EL.2786474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridges Community Homecare of Colorado Springs, LLC
• Hilary Bridges, LPC
• Latonia Vaness Bridges, CCC-SLP
• Maureen A Bridges, PTA
• Bridgette K Young DMD LLC
• Kyle David Bridgman, LMFT
• Barbara Jean Bridgmon, RN
• Jordan Brielmaier, PT, DPT
• Brien J Whittington DO, LLC
• Jennifer Anne Briggeman, CCC-SLP

• Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.