NPIMap

Organization Active NPI

Bridgebuilders Family & Youth Services Inc.

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1881828093
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.
Practice address
5500 Executive Center Dr
Charlotte, NC 28212-8856
Phone
(704) 537-5760
Fax
(704) 537-5761
NPI assigned
May 4, 2009
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Mr. Vernon Tyronne Grier, BA
Title
Executive Director
Phone
(704) 537-5760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5500 Executive Center Dr
Charlotte, NC 28212-8856

Mailing address

PO Box 3707
Gastonia, NC 28054-0020
Phone (704) 537-5760

Other identifiers 1

IdentifierTypeStateIssuer
8301405GMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Bridgebuilders Family Youth Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1881828093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3707",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540020",
            "telephone_number": "704-537-5760",
            "fax_number": "704-537-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128856",
            "telephone_number": "704-537-5760",
            "fax_number": "704-537-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEBUILDERS FAMILY & YOUTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "TYRONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-537-5760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301405G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.