Bridge to Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIDGE TO WELLNESS LLC

Practice address

5505 W 123Rd St Ste 2000
Savage, MN 55378-5505

Phone

(612) 460-5056

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By 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

Mr. Ahmednur AliNPI 1275294084

Title

Administrator

Phone

(612) 460-5056

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmednur Ali

  • Pharmacist
  • Rochester, MN
  • NPI 1275294084
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1639993702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 59TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018745",
            "telephone_number": "507-358-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W 123RD ST STE 2000",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553785505",
            "telephone_number": "612-460-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AHMEDNUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-460-5056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Bohnen
• Jordan Jeffrey Bolger, DDS
• John Luther Boone, M.D.
• Brieanne Kelsey Borntrager, ADT
• Brenda A Brewster, P.T.
• Brightpath Behavioral Support
• Souad N Brobby, PA
• Lauren Elizabeth Dalum Brown, MA
• Dana Buddenbaum, MT, CMLDT
• Christopher Bullis

• Mental Health Clinic/Center (Including Community Mental Health Center) in Savage, MN
• Providers in Savage, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.