Bridge Manifest, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BRIDGE MANIFEST, LLC

Practice address

319 W Northern Blvd
Tarboro, NC 27886-2452

Phone

(252) 343-7002

NPI assigned

Feb 7, 2026

Last updated

Apr 28, 2026By 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

Edward Tremayne PowellNPI 1346190105

Title

Ceo

Phone

(252) 343-7002

Specialties & licenses 9

Addresses

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.

• Edward Tremayne Powell

  • Phlebotomy Technician
  • Tarboro, NC
  • NPI 1346190105
  NPD Authorized official

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

{
    "created_epoch": "1770422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1194676817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W NORTHERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862452",
            "telephone_number": "252-343-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W NORTHERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862452",
            "telephone_number": "252-343-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE MANIFEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "TREMAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-343-7002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Speech Therapy, PLLC
• Emma Blount, PT, DPT
• Linda Bowen, COTAL
• Brian J Lankford OD PA (Tarboro Vision)
• Bridge Manifest Community Enrichment Center, Inc
• Lauren Bridgers, COTA/L
• Brilliant Minds Mental Health and Wellness, PLLC
• Jil Humberger Brown
• Bryan Drugs
• Bryan Drugs Inc (Bryan Drugs)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

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

Verify at the official NPI Registry.