Bridging the Gap Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1403AD666203 Issued in FL

Legal business name

BRIDGING THE GAP RECOVERY, LLC

Practice address

220 S Arnold Rd
Panama City Beach, FL 32413-2151

Phone

(850) 249-4300

Fax

(850) 640-1174

NPI assigned

Jan 16, 2014

Organization subpart

Yes

Parent organization

BEACHCOMBER RETREAT, LLCAs reported in NPPES

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

Authorized official

Name

Mr. David E Murphree

Title

Ceo/Owner

Phone

(850) 249-4300

Specialties & licenses 1

Addresses

Part of

Beachcomber Retreat LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beachcomber Retreat, LLC

  • Substance Abuse Rehabilitation Facility
  • Panama City Beach, FL
  • NPI 1720363195
  NPPES parent name

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1275955874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S ARNOLD RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132151",
            "telephone_number": "850-249-4300",
            "fax_number": "850-640-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S ARNOLD RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132151",
            "telephone_number": "850-249-4300",
            "fax_number": "850-640-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACHCOMBER RETREAT, LLC",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "MURPHREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "850-249-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1403AD666203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Ruth Bragiel, RN
• Christi Ann Brannon, MA, CCC-SLP
• Breakfast Point Pediatrics Inc
• Jordan Brewer, DPT
• Bridging the Gap Outpatient, LLC
• Lachristie Nicole Britton
• Krystal Marie Brown, LMT
• Leslie Brown
• Kellie Buchanan
• Matthew Lane Bush, P.T.

• Substance Abuse Rehabilitation Facility in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.