Bridge Group Residential and Community Based Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGE GROUP RESIDENTIAL AND COMMUNITY BASED SERVICES

Practice address

2859 E Voltaire Ave
Phoenix, AZ 85032-6017

Phone

(480) 370-9517

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Marcus Murry DicksonNPI 1417468273

Title

Ceo/Owner

Phone

(480) 370-9517

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marcus Dickson

  • Counselor
  • Tempe, AZ
  • NPI 1417468273
  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1114657756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 S VAL VISTA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046401",
            "telephone_number": "480-459-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 E VOLTAIRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326017",
            "telephone_number": "480-370-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE GROUP RESIDENTIAL AND COMMUNITY BASED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "MURRY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "480-370-9517"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamarie Bricker, N.P.
• Sarah Bricker, APRN-NP
• Lori Brickner, PT
• Bridge Consulting Services LLC
• Bridge Counseling Services LLC
• Bridge of Love LLC
• Bridge Residential LLC
• Bridge to Sobriety Foundation
• Bridge Wellness Center LLC
• Robert S Bridge, M.D.

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.