Active NPI
Bridgeway, Inc.
- Community/Behavioral Health Agency
- Cleveland, OH
National Provider Identifier
1972648988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BRIDGEWAY, INC.
- Practice address
- 8301 Detroit Ave
Cleveland, OH 44102-1805 - Phone
- (216) 281-2660
- Fax
- (216) 281-5183
- NPI assigned
- Feb 20, 2007
- 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
- Mr. Michael J Krafcik, CPA
- Title
- Cfo
- Phone
- (216) 688-4130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | OH | Primary |
Addresses
Primary practice location
8301 Detroit Ave
Cleveland, OH 44102-1805
Mailing address
8301 Detroit Ave
Cleveland, OH 44102-1805
Phone (216) 281-2660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01090 | Other | OH | UPI |
| 0959520 | Medicaid | OH |
Other names 1
- Unbar
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972648988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021805",
"telephone_number": "216-281-2660",
"fax_number": "216-281-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 DETROIT AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021805",
"telephone_number": "216-281-2660",
"fax_number": "216-281-5183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWAY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRAFCIK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "216-688-4130",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPI",
"identifier": "01090",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0959520",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Unbar",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.