Organization Active NPI

Bridges of Wilmington

  • Case Management Agency
  • Wilmington, NC
National Provider Identifier
1376307686
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Mar 30, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1083876049MedicaidNC

Other names 1

  • BRIDGES Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.