Bridge Family Practice

Primary specialty

SpecialistTaxonomy code 174400000X

License

A72340 Issued in CA

Legal business name

BRIDGE FAMILY PRACTICE

Practice address

5900 Shattuck Ave Ste 101
Oakland, CA 94609-1461

Phone

(510) 595-1500

Fax

(510) 595-1560

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendell Bryan Williams, M.DNPI 1093703357

Title

Medical Doctor

Phone

(510) 595-1500

Specialties & licenses 1

Addresses

Locations

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.

• Wendell Bryan Williams, MD

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1093703357
  NPD (past) Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1164710638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091461",
            "telephone_number": "510-595-1500",
            "fax_number": "510-595-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091461",
            "telephone_number": "510-595-1500",
            "fax_number": "510-595-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "510-595-1500",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A72340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taheerah Brewer
• Donald A Breyer, M.D.
• Karla Briceno
• Adena Brickman-Horvitz
• Leslea A. Brickner, MD
• Bridge Family Practice, Inc.
• Bridge Psychological Services, Inc. (Dana Meeks PsyD)
• Asia Symone Bridges
• Christina Bridges
• Sarah Bridgewater

• Specialist in Oakland, CA
• Providers in Oakland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.