Organization Active NPI

Bridges Health and Wellness

  • Primary Care Clinic/Center
  • Charlotte, NC
National Provider Identifier
1770929440
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on May 21, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.