Bridge Road Primary Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIDGE ROAD PRIMARY CARE

Practice address

1545 Bridge Rd
Charleston, WV 25314-1949

Phone

(304) 437-9705

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Erica D Gunnoe, NURSE PRACTITIONER

Title

Nurse Practitioner

Phone

(304) 437-9705

Specialties & licenses 1

Addresses

Other names 1

• Bridge Road Primary Care Former legal business name

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1912652454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 BRIDGE RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141949",
            "telephone_number": "304-437-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 BRIDGE RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141949",
            "telephone_number": "304-437-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE ROAD PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "GUNNOE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-437-9705",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Road Primary Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Brewster
• Samantha Brewster
• David Brian, PARAPROFESSIONAL
• Seth Brickey
• Haleigh Brickles
• Catelyn Briggs
• Brenda Brightwell
• Shelley Dawn Brinkley
• Denise Briscoe, MA, LSW
• Gregory Clark Briscoe, DDS

• Clinic/Center in Charleston, WV
• Providers in Charleston, WV by specialty
• Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.