Carebridge LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAREBRIDGE LLC

Practice address

500 Silver Cross Dr
Brookhaven, MS 39601-2304

Phone

(601) 405-5394

NPI assigned

Mar 18, 2025

Organization subpart

No

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

Authorized official

Name

Lauren BerryNPI 1659119188

Title

Coo

Phone

(601) 405-5394

Specialties & licenses 1

Addresses

Other names 1

• CareBridge Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Berry, SLP

  • Speech-Language Pathologist
  • Brookhaven, MS
  • NPI 1659119188

  MS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1316747322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 4TH ST SW",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113952",
            "telephone_number": "601-405-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SILVER CROSS DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012304",
            "telephone_number": "601-405-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "601-405-5394"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareBridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Wilson Cabell, NP
• Bryan S Calcote, M.D.
• Caleb W. Herndon, M.D., PH.D., P.a.
• Antoinette Cameron, RBT
• Daniel Campbell
• Lashonda Carmel
• David Vance Carner, M.D.
• William Graham Carter, FNP-C
• Amy Katheryn Case, FNP, ADM
• Kimberly Case

• All providers in Brookhaven, MS
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.