Bridge Medical Group, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIDGE MEDICAL GROUP, INC.

Practice address

15720 Ventura Blvd
Ste. 400
Encino, CA 91436-2914

Phone

(800) 967-3309

Fax

(800) 967-1138

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Jonathan Asher Yaker

Title

Vice President

Phone

(800) 967-3309

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1215260377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1992",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90406",
            "telephone_number": "800-967-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD",
            "address_2": "STE. 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362914",
            "telephone_number": "800-967-3309",
            "fax_number": "800-967-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "YAKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ASHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-967-3309"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soniya K Brar, MT-BC
• Stella Braunstein, SLP
• Stephen D Bresnick, MD
• Tiffani Bresnick, LCSW
• Brian Gordon DC Lac Acupuncture Professional Corporation (Active Care Spine Center)
• Bright Horizon Home Health, Inc.
• Bright Minds Developmental Center
• Barbara Joyce Brighton, MFCT
• Brilliant Care Hospice
• Helene Bringsli, AMFT, APCC

• Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.