Bridgemd LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BRIDGEMD LLC

Doing business as

Fidus Primary Care

Practice address

16391 76TH TRL N
West Palm Beach, FL 33418-7671

Phone

(561) 293-4893

NPI assigned

Nov 16, 2020

Organization subpart

Yes

Parent organization

BRIDGE MD LLCAs reported in NPPES

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

Authorized official

Name

Pamela Tambini, MDNPI 1396087698

Title

Owner

Phone

(408) 234-9746

Specialties & licenses 1

Addresses

Other names 1

• Fidus Primary Care Doing business as

Part of

Bridgemd LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Nicole Tambini, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Riviera Beach, FL
  • NPI 1396087698
  NPD Authorized official

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1831791664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16391 76TH TRL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334187671",
            "telephone_number": "408-234-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16391 76TH TRL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334187671",
            "telephone_number": "561-293-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGE MD LLC",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "TAMBINI",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-234-9746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fidus Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marjorie Kay Bretton, LMHC CAP
• Diana Carolina Breud, MA, BCBA
• Bruna Breves Mesquita
• Mahalia Brice, DC
• Bridge to Mental Healing LLC
• Bridges Behavioral Therapy, LLC
• Bridging the Pieces Therapy LLC
• Bright Children Ppec, Inc
• Bright Future Behavioral Care LLC
• Bright Future Mental Health Services LLC

• Primary Care Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.