Active NPI
Bridgeway Therapeutics Inc
- Adult Mental Health Clinic/Center
- Minneapolis, MN
National Provider Identifier
1720680440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BRIDGEWAY THERAPEUTICS INC
- Practice address
- 2610 E 32ND St Ste 1
Minneapolis, MN 55406-1905 - Phone
- (612) 361-7727
- Fax
- (612) 454-2693
- NPI assigned
- Nov 9, 2020
- 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
- Fatma Abdille
- Title
- Ceo
- Phone
- (612) 361-7727
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
2610 E 32ND St Ste 1
Minneapolis, MN 55406-1905
Mailing address
2610 E 32ND St Ste 1
Minneapolis, MN 55406-1905
Phone (612) 361-7727
Other practice location 1
6001 78th Ave N
Brooklyn Park, MN 55443-2909
Phone (612) 361-7727
National Provider Directory
National Provider DirectoryLocations
6001 78th Ave N
Minneapolis, MN 55443
Phone (612) 703-3237
2610 E 32nd St
Ste 1
Minneapolis, MN 55406
Phone (612) 361-7727
2833 13th Ave S
Ste 127
Minneapolis, MN 55407
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Minneapolis, MN
- NPI 1790400638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1720680440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 E 32ND ST STE 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061905",
"telephone_number": "612-361-7727",
"fax_number": "612-454-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 E 32ND ST STE 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061905",
"telephone_number": "612-361-7727",
"fax_number": "612-454-2693"
}
],
"practiceLocations": [
{
"address_1": "6001 78th Ave N",
"address_purpose": "LOCATION",
"city": "Brooklyn Park",
"state": "MN",
"postal_code": "554432909",
"country_code": "US",
"telephone_number": "612-361-7727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRIDGEWAY THERAPEUTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-09",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "ABDILLE",
"authorized_official_first_name": "FATMA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-361-7727"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.