Active NPI
Bridgeway Independent Living Designs, LLC
- Customized Equipment (DME)
- Milwaukee, WI
National Provider Identifier
1770882128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.