Organization Active NPI

Bridges Health Services

  • Family Nurse Practitioner
  • Niles, MI
National Provider Identifier
1790067064
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704218867 Issued in MI
Legal business name
BRIDGES HEALTH SERVICES
Practice address
1132 Carberry Rd
Niles, MI 49120-5107
Phone
(269) 684-2837
NPI assigned
Sep 13, 2011
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Eunice Hamilton, FNP
Title
President and Ceo
Phone
(269) 684-2837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704218867 MI Primary

Addresses

Primary practice location

1132 Carberry Rd
Niles, MI 49120-5107

Mailing address

1132 Carberry Rd
Niles, MI 49120-5107
Phone (269) 684-2837

Other identifiers 2

IdentifierTypeStateIssuer
1114196748OtherMIMEDICARE PLUS BLUE PPO
0877675OtherMIBCBSM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1790067064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CARBERRY RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491205107",
            "telephone_number": "269-684-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CARBERRY RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491205107",
            "telephone_number": "269-684-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "269-684-2837",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704218867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE PPO",
            "identifier": "1114196748",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0877675",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.