Gregory A Bridges Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227023038 Issued in IL

Practice address

838 S 4TH St
Springfield, IL 62703-2274

Phone

(217) 859-4248

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1902586589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 S 4TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032274",
            "telephone_number": "217-859-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 S 4TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032274",
            "telephone_number": "217-859-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227023038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian England DC LTD
• Brian Nickerson Counseling PLLC
• Brianna Smith Speech Therapy PLLC
• Bridge and Bloom Therapy
• Ashley Renee Bridges, PA-C
• John L Briggs, DO
• Madeleine Elizabeth Brindle, MD
• Susan Elizabeth Brinkoetter, CCC-SLP
• Rodica S Brisan, M.D.
• Tiffany Nicole Britt

• Massage Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.