Active NPI
Health Bridges Medical Center
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1699055376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CH5495
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.