NPIMap

Organization Active NPI

Bridge Chiropractic 4 LLC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1144604968
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003537 Issued in WA
Legal business name
BRIDGE CHIROPRACTIC 4 LLC
Practice address
7317 E Mill Plain Blvd
Vancouver, WA 98664-1300
Phone
(360) 695-4041
Fax
(360) 693-2490
NPI assigned
Jul 10, 2015
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Paul A Reed, DCNPI 1194809392
Title
Owner & Chiropractor
Phone
(360) 574-5944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003537 WA Primary

Addresses

Primary practice location

7317 E Mill Plain Blvd
Vancouver, WA 98664-1300

Mailing address

7317 E Mill Plain Blvd
Vancouver, WA 98664-1300
Phone (360) 695-4041

Other names 1

  • Paul Reed Sole MBR Other name

National Provider Directory

National Provider Directory

Locations

7317 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 695-4041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1144604968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641300",
            "telephone_number": "360-695-4041",
            "fax_number": "360-693-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641300",
            "telephone_number": "360-695-4041",
            "fax_number": "360-693-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CHIROPRACTIC 4 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER & CHIROPRACTOR",
        "authorized_official_telephone_number": "360-574-5944",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Reed Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.