Bridges Medical

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BRIDGES MEDICAL

Practice address

140 Bridges Rd Ste E
Mauldin, SC 29662-3260

Phone

(864) 626-3599

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By 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

Jeremy Wilson

Title

Owner

Phone

(864) 626-3599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1326629411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BRIDGES RD STE E",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623260",
            "telephone_number": "864-626-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BRIDGES RD STE E",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623260",
            "telephone_number": "864-626-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-626-3599"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Barton Bozeman, M.A., B.S.
• Heather L. Brannon, M.D.
• Margaret Brannon, RN, BSN, IBCLC
• Kelsey Grant Brantley, CPT
• Larry B Brazell
• Brighter Future Youth Services
• McKalynne Marsh Broughton, OTR/L, OTD
• Denise Brown
• Kenneth Brown II, LPC-A
• Kianta Brown, PHARMD

• Physical Medicine & Rehabilitation Physician in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.