Bridge Medical Care P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRIDGE MEDICAL CARE P C

Practice address

4008 Boston Rd
Bronx, NY 10475-1118

Phone

(914) 269-8777

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By 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. Shawn Kunjumon Samuel, DONPI 1649366204

Title

Doctor

Phone

(914) 269-8777

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Shawn Kunjumon Samuel, DO, MS

  • Hospitalist Physician
  • Bronx, NY
  • NPI 1649366204
  Authorized official Same address or phone

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1750144531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PALMER AVE # 1050",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382437",
            "telephone_number": "914-269-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751118",
            "telephone_number": "914-269-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE MEDICAL CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "KUNJUMON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "914-269-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Brezler, RN, MS, COHN-S/CM
• Kristin Brice, LCAT-LP
• Yanira Briceno, LPC
• Yardena Brickman, LMSW
• Bridge Eye Care Optical
• Bridge RX Pharmacy Inc.
• Bridge RX Pharmacy Inc.
• Caron Maxine Bridge, RN
• Orlando Bridge
• Samuel Bridge

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.