Michael Benjamin Brownbridge, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06290100 Issued in NJ

Practice address

6 Cornwall CT Ste B
East Brunswick, NJ 08816-3347

Phone

(732) 955-4141

NPI assigned

Sep 22, 2017

Last updated

Sep 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vimax LLCGroup PAC ID 7416273644, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vimax LLC

  dba Positive Reset Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colts Neck, NJ
  • NPI 1922440627
  Medicare reassignment Care Compare group NPD
• Vimax LLC

  dba Positive Reset Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • East Brunswick, NJ
  • NPI 1710504881
  NPD

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1578072559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LORRAINE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837007",
            "telephone_number": "609-271-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CORNWALL CT STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163347",
            "telephone_number": "732-955-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNBRIDGE",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06290100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brown, MD
• Joan E Brown
• Latasha Brown, NP
• Rita A Brown, LCSW, ACSW
• Saleem Brown, LSW
• Mark Brumer, PT
• Brunswick Dental Group
• Brunswick Family Dental Center
• Brunswick Medical Associates Inc
• Brunswick Medical Associates, LLC

• Clinical Social Worker in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.