Freedom Bridge to Recovery Multicare LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FREEDOM BRIDGE TO RECOVERY MULTICARE LLC

Practice address

1711 Destiny LN
Bowling Green, KY 42104-1066

Phone

(270) 791-9943

Fax

(270) 904-2377

NPI assigned

May 29, 2019

Last updated

May 29, 2019By 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

Barry Hardison, MD

Title

Member

Phone

(270) 543-1766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1881252534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 DESTINY LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041066",
            "telephone_number": "270-791-9943",
            "fax_number": "270-904-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 DESTINY LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041066",
            "telephone_number": "270-791-9943",
            "fax_number": "270-904-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM BRIDGE TO RECOVERY MULTICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "270-543-1766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad Fraser, M.D.
• Zahid G Fraser, MD
• Kim Frassinelli, PTA
• Xanxorskii Frazier
• Freedom Bridge to Recovery LLC
• Freedom Home Care of Kentucky
• Katherine Freeman
• Sarah E Freeman, LPCC-S
• Shelby French, MMFT
• John Kurt Frey II, D.M.D

• Multi-Specialty Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.