NPIMap

Organization Active NPI

Bridging the Gaps

  • Substance Abuse Rehabilitation Facility
  • Winchester, VA
National Provider Identifier
1689835910
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
42901006 Issued in VA
Legal business name
BRIDGING THE GAPS
Practice address
423 W Cork St
Winchester, VA 22601-3812
Phone
(954) 587-7771
Fax
(954) 587-8622
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Mark Garzon, MD
Title
Attending Physician
Phone
(540) 535-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 42901006 VA Primary

Addresses

Primary practice location

423 W Cork St
Winchester, VA 22601-3812

Mailing address

423 W Cork St
Winchester, VA 22601-3812
Phone (954) 587-7771

National Provider Directory

National Provider Directory
Tax ID family
Bridging the Gaps PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31 S Braddock St
Winchester, VA 22601
Phone (540) 535-1111

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1689835910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W CORK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013812",
            "telephone_number": "954-587-7771",
            "fax_number": "954-587-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W CORK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013812",
            "telephone_number": "954-587-7771",
            "fax_number": "954-587-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GARZON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "540-535-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VA",
            "license": "42901006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.