Bridge Spine and Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRIDGE SPINE AND WELLNESS, LLC

Practice address

4900 Jackson Rd Ste D
Ann Arbor, MI 48103-1876

Phone

(419) 215-9201

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas MuellerNPI 1528724770

Title

Owner

Phone

(419) 215-9201

Specialties & licenses 1

Addresses

Other names 1

• The Bridge Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Nicholas Mueller, DC

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1528724770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1124784376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031876",
            "telephone_number": "419-215-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE SPINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-215-9201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Bridge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily M Briceno-Abreu, PHD
• Audrey Julie Bricker, PSY.D
• Arthur S Brickman, PH.D.
• Kathryn L Brickman, LMSW
• Bridge Academy
• Christa Bridges, LPN
• Adam C Brieger, CRNA
• Mellissa K Brieger, PA-C
• Amalia Briggs, LLMSW
• Jodie Elizabeth Briggs

• Chiropractor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.