Organization Active NPI

Bridge Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • High Point, NC
National Provider Identifier
1114587128
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRIDGE MEDICAL SUPPLY LLC
Practice address
265 Eastchester Dr Ste 133-180
High Point, NC 27262-7731
Phone
(833) 228-9808
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Rebecca Rybak
Title
Manager
Phone
(833) 228-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

265 Eastchester Dr Ste 133-180
High Point, NC 27262-7731

Mailing address

265 Eastchester Dr Ste 133-180
High Point, NC 27262-7731

National Provider Directory

National Provider Directory

Locations

265 Eastchester Dr
Ste 133180
High Point, NC 27262
Phone (833) 228-9808

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1114587128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EASTCHESTER DR STE 133-180",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 EASTCHESTER DR STE 133-180",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627731",
            "telephone_number": "833-228-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "RYBAK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "833-228-9808"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.