Bridge 4 Healthcare Solutions

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BRIDGE 4 HEALTHCARE SOLUTIONS

Practice address

3636 University Blvd S Ste A7
Jacksonville, FL 32216-4210

Phone

(888) 509-0932

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

John Distefano

Title

Board Member

Phone

(352) 317-3214

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1487415394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11712 PLEASANT CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S STE A7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164210",
            "telephone_number": "888-509-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE 4 HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "352-317-3214"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verlon Coy Brickey Jr., PHD., LMHC, CAP
• Kelly J Brickman
• John Brideau
• Joanne Marie Bridegan, LMHC
• Brittni Deanne Bridenburg
• Bridge Builders Mediation and Family Services
• Bridge Builders United, Inc.
• Bridge to Resolution Counseling and Rehabilitation
• Ronda Katrice Bridgeman
• Bridges Behavioral Services Inc

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.