Bridge Integrative Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BRIDGE INTEGRATIVE MEDICINE LLC

Practice address

305 NW Englewood CT Ste 200
Kansas City, MO 64118

Phone

(816) 454-5433

Fax

(816) 454-8455

NPI assigned

Mar 20, 2018

Last updated

Jul 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James A WyllieNPI 1952408924

Title

Chief of Operations

Phone

(816) 454-5433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James A Wyllie, D.C., D.A.B.C.O.

  • Chiropractor
  • Gladstone, MO
  • NPI 1952408924
  Medicare reassignment Care Compare group NPD Authorized official
• Chris M McClenney, DC

  • Chiropractor
  • Gladstone, MO
  • NPI 1275570780
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1740784214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD COURT",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184000",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-454-5433",
            "fax_number": "816-454-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "WYLLIE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "816-454-5433",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian D Paul LLC
• Brian S. Sutton DDS, PC
• Briarcliff Ambulatory Surgery Center LP (Briarcliff Surgery Center)
• Briarcliff Counseling Services
• Briarcliff Family Dental
• Bridgecare ABA Mo LLC
• Heather Doeren Bridgens, PA-C
• Julia E. Bridges, RN, MSN, FNP-C
• Marc Bridges
• Matthew Aaron Bridges, M.D.

• General Practice Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.