NPIMap

Organization Active NPI

Health Bridge, LLC

  • Clinic/Center
  • Glen Allen, VA
National Provider Identifier
1417579889
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTH BRIDGE, LLC
Practice address
4198 Cox Rd Ste 102
Glen Allen, VA 23060-3328
Phone
(833) 274-3439
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
David Ogens
Title
President
Phone
(617) 312-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4198 Cox Rd Ste 102
Glen Allen, VA 23060-3328

Mailing address

9100 Arboretum Pkwy Ste 285
North Chesterfield, VA 23236-3494
Phone (804) 347-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322000127 VA Part B Supplier - Clinic/Group Practice 2264849181 Receives reassigned benefits from 5 practitioners
Practice locations: North Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

4198 Cox Rd
Ste 102
Glen Allen, VA 23060
Phone (833) 274-3439

9100 Arboretum Pkwy
Ste 285
North Chesterfield, VA 23236

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1417579889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 ARBORETUM PKWY STE 285",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363494",
            "telephone_number": "804-347-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 COX RD STE 102",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603328",
            "telephone_number": "833-274-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "OGENS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-312-6812"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.