Bridgeway, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIDGEWAY, INC

Practice address

1084 Lawrence Ave
Galesburg, IL 61401-2482

Phone

(309) 343-2290

Fax

(309) 343-2291

NPI assigned

Apr 11, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Nelson

Title

Ceo

Phone

(309) 344-2323

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kewanee, IL
  • NPI 1114140621

  O20050126000609

  Same enrollment
• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monmouth, IL
  • NPI 1316160823

  O20050126000609

  Same enrollment
• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pekin, IL
  • NPI 1346524899

  O20050126000609

  Same enrollment
• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Macomb, IL
  • NPI 1518185925

  O20050126000609

  Same enrollment
• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Normal, IL
  • NPI 1588948046

  O20050126000609

  Same enrollment
• Bridgeway Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1851315535

  O20050126000609

  Same enrollment
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kewanee, IL
  • NPI 1023231537

  O20050126000609

  Same enrollment
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1154545879

  O20050126000609

  Same enrollment
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1194948695

  O20050126000609

  Same enrollment
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1407079916

  O20050126000609

  Same enrollment
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kewanee, IL
  • NPI 1578788188

  O20050126000609

  Same enrollment
• Bridgeway, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Galesburg, IL
  • NPI 1710100219

  O20050126000609

  Same enrollment

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790908200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 LAWRENCE AVE",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012482",
            "telephone_number": "309-343-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 LAWRENCE AVE",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012482",
            "telephone_number": "309-343-2290",
            "fax_number": "309-343-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-344-2323"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgeway, Inc
• Bridgeway, Inc
• Bridgeway, Inc
• Bridgeway, Inc
• Bridgeway, Inc
• Bridgeway, Inc
• Beth Briney, LCSW
• Ayesha Brown, RPH
• Kathleen A Brown, LCSW
• Laura Carroll Brown, PT, MS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.