Bridge Medicine LLC
Organization Active NPI Family Medicine Physician · Makawao, HI
NPI 1801100177 · NPPES record last updated Jul 28, 2010
Key facts
- NPI
- 1801100177
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 13323 (HI)
- Legal business name
- BRIDGE MEDICINE LLC
- Practice address
- 1120A Makawao Ave
Makawao, HI 96768-9448 - Phone
- (808) 573-7555
- NPI assigned
- Jul 28, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Mia Carson, MD
- Title
- Physician/Owner
- Phone
- (808) 573-7555
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 13323 | HI | Yes |
Addresses
Primary practice location
1120A Makawao Ave
Makawao, HI 96768-9448
Mailing address
1120A Makawao Ave
Makawao, HI 96768-9448
Phone (808) 573-7555
Other providers in Makawao, HI
- Joanna Borreta
- John Bott
- Catherine Louise Brandon
- Karen Solomon Brewer
- Ellen Wolfe Brewerton
- Alison J Bromley
- Jordan L Brown
- Kenneth Busto
- Jordan Butay
- Ryan James Butler
All providers in Makawao, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.