The Bridge Line

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X

Legal business name

THE BRIDGE LINE

Practice address

315 Winding River Lane
Suite 201
Charlottesville, VA 22911

Phone

(434) 220-4596

Fax

(434) 220-4596

NPI assigned

Aug 4, 2023

Last updated

Nov 17, 2023By 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

Daniela Pretzer

Title

Executive Director

Phone

(434) 220-4596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1942982368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WINDING RIVER LANE",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-220-4596",
            "fax_number": "434-220-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINDING RIVER LANE",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-220-4596",
            "fax_number": "434-220-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-11-17",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "PRETZER",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-220-4596"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brain Injury Medicine (Psychiatry & Neurology) Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Brain Injury Medicine (Psychiatry & Neurology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.