Bridge Medical Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIDGE MEDICAL GROUP LLC

Practice address

4303 N Central Expy
Dallas, TX 75205-5597

Phone

(214) 534-9325

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By 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

Carl Weinkauf

Title

Member

Phone

(214) 534-9325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1972856631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055597",
            "telephone_number": "214-534-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "WEINKAUF",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-534-9325"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.