NPIMap

Organization Active NPI

Bridgeway,Inc

Doing business as Bridgeway-Unbar

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1275696395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0149 Issued in OH
Legal business name
BRIDGEWAY,INC
Doing business as
Bridgeway-Unbar
Practice address
8301 Detroit Ave
Cleveland, OH 44102-1805
Phone
(216) 281-2660
Fax
(216) 281-5183
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mike J Krafcik, CPA
Title
Cfo
Phone
(216) 688-4130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0149 OH Primary

Addresses

Primary practice location

8301 Detroit Ave
Cleveland, OH 44102-1805

Mailing address

8301 Detroit Ave
Cleveland, OH 44102-1805
Phone (216) 281-2660

Other identifiers 2

IdentifierTypeStateIssuer
01090OtherOHUPI
0959520MedicaidOH

Other names 1

  • Bridgeway-Unbar Doing business as

National Provider Directory

National Provider Directory

Locations

11027 Magnolia Dr
Cleveland, OH 44106
Phone (216) 721-3070

2103 Clark Ave
Cleveland, OH 44109
Phone (216) 687-1350

8711 Denison Ave
Cleveland, OH 44102
Phone (216) 631-8686

Practitioners & affiliated clinicians

Practitioners 8

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275696395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021805",
            "telephone_number": "216-281-2660",
            "fax_number": "216-281-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021805",
            "telephone_number": "216-281-2660",
            "fax_number": "216-281-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAFCIK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-688-4130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPI",
            "identifier": "01090",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway-Unbar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.