Active NPI
Bridges Health and Wellness
- Primary Care Clinic/Center
- Charlotte, NC
National Provider Identifier
1770929440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- BRIDGES HEALTH AND WELLNESS
- Practice address
- 225 W Morehead St
Charlotte, NC 28202-1521 - Phone
- (980) 229-3788
- Fax
- (980) 819-5694
- NPI assigned
- May 21, 2013
- 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
- Dr. Kendell Jasper, PH.D.
- Title
- Clinic Director
- Phone
- (980) 229-3788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
225 W Morehead St
Charlotte, NC 28202-1521
Mailing address
5939 Brightstar Valley Rd
Mint Hill, NC 28227-0000
Phone (980) 229-3788
National Provider Directory
National Provider DirectoryLocations
225 W Morehead St
Charlotte, NC 28202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369094400000",
"number": "1770929440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5939 BRIGHTSTAR VALLEY RD",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282270000",
"telephone_number": "980-229-3788",
"fax_number": "980-819-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W MOREHEAD ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021521",
"telephone_number": "980-229-3788",
"fax_number": "980-819-5694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A",
"authorized_official_last_name": "JASPER",
"authorized_official_first_name": "KENDELL",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "980-229-3788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.