Active NPI
A Bridge to Achievement
- Clinic/Center
- Winston Salem, NC
National Provider Identifier
1386201150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.