Bridgeman Brothers Mediquip

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

20012618227 Issued in GA

Legal business name

BRIDGEMAN BROTHERS MEDIQUIP

Doing business as

Bridgeman Mediquip

Practice address

109 Hwy 49
Suite 5
Macon, GA 31211-7853

Phone

(478) 742-0022

Fax

(478) 742-0211

NPI assigned

Oct 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Earl Bridgeman, ATS CRTS

Title

Owner

Phone

(478) 742-0022

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridgeman Mediquip Doing business as

Locations

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1962588228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4383",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084383",
            "telephone_number": "478-742-0022",
            "fax_number": "478-742-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HWY 49",
            "address_2": "SUITE 5",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312117853",
            "telephone_number": "478-742-0022",
            "fax_number": "478-742-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEMAN BROTHERS MEDIQUIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "BRIDGEMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-742-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATS CRTS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "20012618227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000977534A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeman Mediquip",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Alan Brewer, MD
• Emily Brewer
• Stacey Adel Brewer, SLP, M.ED-CCC
• Sydney Marie Brewer, PA-C
• Alexis Brezial, RBT
• Brishon Bridges, RBT
• Ladonna Bridges, NP
• Lindsey Collier Bridges, DO
• Brightercare Group LLC
• Brighthope Enterprises

• Customized Equipment (DME) in Macon, GA
• Providers in Macon, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.