Bridge Creek Investors LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

BRIDGE CREEK INVESTORS LLC

Doing business as

Bridgecreek Memory Care
Bridgecreek Memory Care Community

Practice address

1401 S 12TH St
Lebanon, OR 97355-1201

Phone

(541) 259-1779

Fax

(541) 259-2012

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Dale Cox

Title

Member

Phone

(541) 389-8929

Specialties & licenses 1

Addresses

Other names 2

• Bridgecreek Memory Care Doing business as
• Bridgecreek Memory Care Community Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1457977134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE WILSON AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021799",
            "telephone_number": "541-389-8929",
            "fax_number": "541-259-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 12TH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973551201",
            "telephone_number": "541-259-1779",
            "fax_number": "541-259-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CREEK INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-389-8929"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgecreek Memory Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgecreek Memory Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hadjer Bounama
• Penny Boyd
• Jodell J. Boyle, M.D.
• Rebecca Louise Bracken-Taylor, D.O.
• Breaking Free, LLC
• Jaclyn Nicole Brooks, MS, LBA, BCBA
• Lindsay Brown
• Shelley Brown
• Kristen Bessler Brusky, D.O.
• Crystal M Buglino, PAC

• Alzheimer Center (Dementia Center) in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Alzheimer Center (Dementia Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.