Active NPI
Bridge Medical Transport LLC
- Non-emergency Medical Transport (VAN)
- Atlanta, GA
National Provider Identifier
1902651045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- BRIDGE MEDICAL TRANSPORT LLC
- Practice address
- 1989 Cheshire Bridge Rd NE Unit 1141
Atlanta, GA 30324-5029 - Phone
- (404) 694-5289
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendra Bridges
- Title
- Chief Executive Officer
- Phone
- (404) 694-5289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1989 Cheshire Bridge Rd NE Unit 1141
Atlanta, GA 30324-5029
Mailing address
1445 Woodmont LN NW # 2853
Atlanta, GA 30318-2866
Phone (404) 694-5289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240613001026 | GA | Part B Supplier - Ambulance Service Supplier | 3971045360 | Practice locations: College Park, GA |
National Provider Directory
National Provider DirectoryLocations
4848 Old National Hwy
#B
College Park, GA 30337
Phone (404) 694-5289
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Atlanta, GA
- NPI 1508557505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1902651045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 WOODMONT LN NW # 2853",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182866",
"telephone_number": "404-694-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1989 CHESHIRE BRIDGE RD NE UNIT 1141",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245029",
"telephone_number": "404-694-5289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE MEDICAL TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "KENDRA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "404-694-5289"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.