Bridgewood Okc, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRIDGEWOOD OKC, LLC

Practice address

1515 Kingsridge Dr
Oklahoma City, OK 73170-4475

Phone

(405) 692-8700

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Patricia E. Cook

Title

Paralegal

Phone

(281) 996-0101

Specialties & licenses 2

Addresses

Other names 1

• Village on the Park-Oklahoma City Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1699110700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E PARKWOOD AVE STE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465152",
            "telephone_number": "281-996-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KINGSRIDGE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704475",
            "telephone_number": "405-692-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWOOD OKC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "281-996-0101"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village on the Park-Oklahoma City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeremey Bridges
• Karli Bridges, COTA
• Kira Bridges
• Melody Bridges
• Paula Bridges
• James David Bridwell, ADC
• Mekyla T Bridwell
• Piper A Bridwell, COUNSELOR
• Ieashia Micole Briggs Buckner
• Briggs Family & Youth Association

• Assisted Living Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.