Bridge to Health, LLC

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

License

79614 Issued in WI

Legal business name

BRIDGE TO HEALTH, LLC

Practice address

2149 Velp Ave
Suite 205
Green Bay, WI 54303-5424

Phone

(920) 434-8500

Fax

(920) 468-9791

NPI assigned

Jun 8, 2009

Organization subpart

No

Name

Ms. Bonnie Lee Groessl, MSNNPI 1528170982

Title

Owner/Nurse Practitioner

Phone

(920) 434-8500

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

• Bonnie L Groessl, MSN

  • Pain Management Registered Nurse
  • Green Bay, WI
  • NPI 1528170982

  Pain Management

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2009.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1760618458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 VELP AVE",
            "address_2": "SUITE 205",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035424",
            "telephone_number": "920-434-8500",
            "fax_number": "920-468-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 VELP AVE",
            "address_2": "SUITE 205",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035424",
            "telephone_number": "920-434-8500",
            "fax_number": "920-468-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "GROESSL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "920-434-8500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": "WI",
            "license": "79614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43845200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Arthur Brennan, D.D.S.
• Bruce Clarke Bressler, M.D.
• April Lee Breuer, CRNA
• Katherine Brey, NP
• Jessica Lynn Brice, OTR/L
• Andrea Bries
• Jennifer L Bright, PT
• Brighter Futures Counseling Services, LLC
• Denise Mary Brilliant, NP
• Bristol Hospice - Green Bay, L.L.C.

• All providers in Green Bay, WI
• Pain Management Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.