Active NPI
Justin Bridge
- Paramedic
- Bolivia, NC
National Provider Identifier
1194642082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P060688
- Practice address
- 749 Pantego Blvd SE
Bolivia, NC 28422-8397 - Phone
- (910) 409-3608
- NPI assigned
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P060688 | NC | Primary |
Addresses
Primary practice location
749 Pantego Blvd SE
Bolivia, NC 28422-8397
Mailing address
749 Pantego Blvd SE
Bolivia, NC 28422-8397
Phone (910) 409-3608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1194642082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 PANTEGO BLVD SE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284228397",
"telephone_number": "910-409-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 PANTEGO BLVD SE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284228397",
"telephone_number": "910-409-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "NC",
"license": "P060688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivia, NC
- Nicholas Barrett Bodenheimer, DO
- Sampson Ray Booth, PA-C
- Roberta Samelson Bracken, M.D.
- Heather C Braithwaite, MD
- Christopher Adams Brann, MD
- Nicholas Matthew Brooker, PT, DPT
- Laura Brown, M.ED, CCC-SLP
- Sara Johnson Brown, NP
- Brunswick Community College Interagency Program
- Brunswick Community Hospital, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.