Organization Active NPI

Bridgeway Independent Living Designs, LLC

  • Customized Equipment (DME)
  • Milwaukee, WI
National Provider Identifier
1770882128
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BRIDGEWAY INDEPENDENT LIVING DESIGNS, LLC
Doing business as
BILD
Practice address
2738 N 74TH St
Milwaukee, WI 53210-1008
Phone
(262) 671-2032
Fax
(888) 217-9371
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mr. Robert Horkheimer, PT
Title
Owner
Phone
(262) 671-2032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2738 N 74TH St
Milwaukee, WI 53210-1008

Mailing address

2738 N 74TH St
Milwaukee, WI 53210-1008
Phone (262) 671-2032

Other names 1

  • BILD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1770882128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 N 74TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101008",
            "telephone_number": "262-671-2032",
            "fax_number": "888-217-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 N 74TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101008",
            "telephone_number": "262-671-2032",
            "fax_number": "888-217-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY INDEPENDENT LIVING DESIGNS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "HORKHEIMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-671-2032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BILD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.