Organization Active NPI

A Bridge to Achievement

  • Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1386201150
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
A BRIDGE TO ACHIEVEMENT
Practice address
1959 N Peace Haven Rd # 104
Winston Salem, NC 27106-4850
Phone
(336) 560-7878
NPI assigned
May 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dana Alley
Title
Chief Excecutive Officer
Phone
(336) 560-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1959 N Peace Haven Rd # 104
Winston Salem, NC 27106-4850

Mailing address

1959 N Peace Haven Rd # 104
Winston Salem, NC 27106-4850
Phone (336) 560-7878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1386201150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 N PEACE HAVEN RD # 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064850",
            "telephone_number": "336-560-7878",
            "fax_number": "833-772-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 N PEACE HAVEN RD # 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064850",
            "telephone_number": "336-560-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BRIDGE TO ACHIEVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CHIEF EXCECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-560-7878"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.