Bridges for Brain Injury

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BRIDGES FOR BRAIN INJURY

Practice address

5760 Duke of Gloucester Way
Farmington, NY 14425-9631

Phone

(585) 396-0070

NPI assigned

Jun 2, 2015

Last updated

Jun 2, 2015By 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

Mrs. Laura Donaldson

Title

Executive Director

Phone

(585) 396-0070

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Bridges for Brain Injury2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bridges for Brain Injury, Inc.

  • Case Management Agency
  • Farmington, NY
  • NPI 1679938492
  NPD tax ID

Locations

Practitioners 1

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.

• Melody L Waugh, LMSW

  • Social Worker
  • Farmington, NY
  • NPI 1306637178
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1366822611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 DUKE OF GLOUCESTER WAY",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259631",
            "telephone_number": "585-396-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 DUKE OF GLOUCESTER WAY",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259631",
            "telephone_number": "585-396-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES FOR BRAIN INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "585-396-0070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03157586",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02969813",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmed El-Halaby DDS MSD PLLC
• Christie L Allen, LPN
• Shannon Bernard, CNM
• Micah John Bialaszewski
• Christi Lynn Bowman, M.S EDUCATION
• Bridges for Brain Injury, Inc.
• Claudette A Brown-Smythe, PHD
• Tara L Burcroff, AAHCC
• Richard R Bush, DDS
• David Roy Carlson, M.D.

• Voluntary or Charitable Agency in Farmington, NY
• Providers in Farmington, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.