Bridgeview Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BRIDGEVIEW URGENT CARE

Practice address

5447 Maple LN
Suite B
Fayetteville, WV 25840-6872

Phone

(304) 574-6900

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Fred Tzystuck, M.D.

Title

Owner

Phone

(304) 573-4315

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Capstone Treatment Center

  • Clinic/Center
  • Beckley, WV
  • NPI 1144641200
  NPPES parent name

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1588095673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 MAPLE LN",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 MAPLE LN",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406872",
            "telephone_number": "304-574-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVIEW URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "TZYSTUCK",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-573-4315",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Black, RN BSN
• Amy Jo Bloomfield, M.A., CCC-SLP
• Kathy Bowling
• Andrea R Bradford, M.S. CCC-SLP
• Pamela Dawn Bragg
• Bright Light Therapy LLC
• Melissa Dawn Bright, M.S./SLP-CF
• John M Brown-Huggins, AMAP
• April Brown
• Suzanne Brown, RN

• Urgent Care Clinic/Center in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Urgent Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.