Health Bridge

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in MD

Legal business name

HEALTH BRIDGE

Practice address

6118 E Main St
Suite B-103
Mesa, AZ 85205-8964

Phone

(301) 960-4830

Fax

(301) 218-0338

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dwight W. Thorn Sr.

Title

Cfo

Phone

(301) 538-3700

Specialties & licenses 1

Addresses

Other names 1

• Health Bridge Medical Doing business as

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649497280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 E. MAIN ST.",
            "address_2": "SUITE B-103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "301-960-4830",
            "fax_number": "301-218-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 E MAIN ST",
            "address_2": "SUITE B-103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058964",
            "telephone_number": "301-960-4830",
            "fax_number": "301-218-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-538-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Bridge Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.