BRIDGEWAY CENTER, INC – NPI #1174169080
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

BRIDGEWAY CENTER, INC is a provider located in FORT WALTON BEACH, FL. NPPES has assigned the NPI number 1174169080 to BRIDGEWAY CENTER, INC on November 26, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jun 12, 2024. 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 BRIDGEWAY CENTER, INC below.

NPI Profile for
BRIDGEWAY CENTER, INC

NPI Number
1174169080
Enumeration Date

(more than 6 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
BRIDGEWAY CENTER, INC
Primary location
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548-5015
Phone: (850) 226-8857 Fax: (850) 226-8859
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BONNIE BARLOW
CHIEF EXECUTIVE OFFICER
Phone: (850) 833-3945
Updated
Certification Date
Jun 12, 2024

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
208D00000X
- General Practice (Primary)

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.