Bridgegap Health Inc

Primary specialty

Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X

Legal business name

BRIDGEGAP HEALTH INC

Doing business as

Bridgegap Health

Practice address

5600 Roswell Rd BLDG C
Atlanta, GA 30342-1194

Phone

(866) 507-0500

NPI assigned

Nov 27, 2024

Last updated

Dec 12, 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

Melissa Kremer

Title

Owner

Phone

(866) 507-0500

Specialties & licenses 1

Addresses

Other names 1

• BRIDGEGAP HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1770309395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 ROSWELL RD BLDG C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421194",
            "telephone_number": "866-507-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 ROSWELL RD BLDG C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421194",
            "telephone_number": "866-507-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEGAP HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-507-0500"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIDGEGAP HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIDGEGAP HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Molecular Genetic Pathology (Pathology) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Molecular Genetic Pathology (Pathology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.