Organization Active NPI

Health Bridges Medical Center

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1699055376
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CH5495 Issued in FL
Legal business name
HEALTH BRIDGES MEDICAL CENTER
Practice address
4380 Cleveland Ave
C3
Fort Myers, FL 33901
Phone
(239) 438-5330
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Ms. Alexandra Brown
Title
Registered Agent
Phone
(239) 438-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CH5495 FL Primary

Addresses

Primary practice location

4380 Cleveland Ave
C3
Fort Myers, FL 33901

Mailing address

4380 Cleveland Ave
C3
Fort Myers, FL 33901
Phone (239) 438-5330

Other names 1

  • HEALTH BRIDGES Other name

National Provider Directory

National Provider Directory

Locations

4380 Cleveland Ave
#C3
Fort Myers, FL 33901
Phone (239) 438-5330

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1699055376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 CLEVELAND AVE",
            "address_2": "C3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-438-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 CLEVELAND AVE",
            "address_2": "C3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-438-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BRIDGES MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "239-438-5330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "CH5495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH BRIDGES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.