Individual provider Active NPI

Tierra Bridges

  • Prosthetics Case Management
  • Spartanburg, SC
National Provider Identifier
1871223933
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
104 Garner Rd Ste 101
Spartanburg, SC 29303-3149
Phone
(864) 902-4484
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

104 Garner Rd Ste 101
Spartanburg, SC 29303-3149

Mailing address

104 Garner Rd
Spartanburg, SC 29303-3149
Phone (864) 902-4484

Other names 1

  • Tierra Bridges Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Blackberry Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1871223933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GARNER RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033149",
            "telephone_number": "864-902-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GARNER RD STE 101",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033149",
            "telephone_number": "864-902-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "TIERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Blackberry",
            "affiliation": "N",
            "endpointDescription": "Blackberry",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Client files",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client records",
            "address_1": "104 Garner Rd Ste 101",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIERRA",
            "last_name": "BRIDGES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.