BRIDGE CLINICS LLC – NPI #1568935278
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

BRIDGE CLINICS LLC is a provider located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1568935278 to BRIDGE CLINICS LLC on January 04, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 5 years ago on Mar 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGE CLINICS LLC below.

NPI Profile for
BRIDGE CLINICS LLC

NPI Number
1568935278
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIDGE CLINICS LLC
Primary location
6357 ROCKVILLE RD
INDIANAPOLIS, IN 46214-3920
Phone: (317) 757-2563 Fax: (317) 405-9970
1 Other location(s):
3702 E 10th St
Indianapolis, IN 46201-2554
Phone: (317) 757-2563
Fax: (317) 405-9970
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LATIFAT OYEKOLA
OWNER
Phone: (317) 495-5173
Updated
Certification Date
Mar 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
251E00000X
- Home Health
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.