Organization Active NPI

Bridge Family Health, PLLC

  • Primary Care Clinic/Center
  • Evanston, IL
National Provider Identifier
1700739737
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRIDGE FAMILY HEALTH, PLLC
Practice address
3423 Church St
Evanston, IL 60203-1714
Phone
(847) 474-9559
NPI assigned
Feb 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Jeff Panzer, MD
Title
Owner/Family Doctor
Phone
(847) 474-9559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3423 Church St
Evanston, IL 60203-1714

Mailing address

3423 Church St
Evanston, IL 60203-1714
Phone (847) 474-9559

Other names 1

  • Bridge Direct Care, PLLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2285017Bridge Family Health3423 Church St, Evanston, IL 60203Certificate of waiverJul 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1700739737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031714",
            "telephone_number": "847-474-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031714",
            "telephone_number": "847-474-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "PANZER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER/FAMILY DOCTOR",
        "authorized_official_telephone_number": "847-474-9559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Direct Care, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.