Bridge Pca, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BRIDGE PCA, INC.

Practice address

1825 Curve Crest Blvd W
Stillwater, MN 55082-5090

Phone

(651) 434-0693

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

James Joseph Roush

Title

President

Phone

(651) 434-0693

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1487880746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 EAGLE RIDGE CT",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829150",
            "telephone_number": "651-434-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825090",
            "telephone_number": "651-434-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE PCA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-434-0693"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Christine Boyer, MD
• Erin Marie Bradshaw
• Jennifer Brandt, LPCC
• Charles Wesley Bransford, MD
• Catherine Kosiapo Breiwick, CNP
• Bridgeview Chiropractic, P.a.
• Lindsay Beth Briggs, DC
• Thomas Broback, DPT, CSCS
• Eden Broberg, MA
• Patrick John Brod, MD

• In Home Supportive Care Agency in Stillwater, MN
• Providers in Stillwater, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.