Active NPI
Bridges of Wilmington
- Case Management Agency
- Wilmington, NC
National Provider Identifier
1376307686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- BRIDGES OF WILMINGTON
- Practice address
- 202 S 5TH Ave Unit C-4
Wilmington, NC 28401-5494 - Phone
- (910) 762-1733
- Fax
- (910) 762-1766
- NPI assigned
- Feb 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Voni M Goodson-Simpson
- Title
- Owner
- Phone
- (910) 762-1733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
202 S 5TH Ave Unit C-4
Wilmington, NC 28401-5494
Mailing address
202 S 5TH Ave Unit C-4
Wilmington, NC 28401-5494
Phone (910) 685-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083876049 | Medicaid | NC |
Other names 1
- BRIDGES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711756800000",
"number": "1376307686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S 5TH AVE UNIT C-4",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284015494",
"telephone_number": "910-685-1233",
"fax_number": "910-762-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S 5TH AVE UNIT C-4",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284015494",
"telephone_number": "910-762-1733",
"fax_number": "910-762-1766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES OF WILMINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-07",
"last_updated": "2024-03-30",
"certification_date": "2024-03-30",
"status": "A",
"authorized_official_last_name": "GOODSON-SIMPSON",
"authorized_official_first_name": "VONI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-762-1733"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083876049",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BRIDGES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BRIDGES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.