BRIDGE INTEGRATIVE MEDICINE LLC – NPI #1740784214
General Practice

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

BRIDGE INTEGRATIVE MEDICINE LLC is a provider located in KANSAS CITY, MO. NPPES has assigned the NPI number 1740784214 to BRIDGE INTEGRATIVE MEDICINE LLC on March 20, 2018. 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 previously updated about 8 years ago on Jul 23, 2018. 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 INTEGRATIVE MEDICINE LLC below.

NPI Profile for
BRIDGE INTEGRATIVE MEDICINE LLC

NPI Number
1740784214
Enumeration Date

(more than 8 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 INTEGRATIVE MEDICINE LLC
Primary location
305 NW ENGLEWOOD CT STE 200
KANSAS CITY, MO 64118
Phone: (816) 454-5433 Fax: (816) 454-8455
Mailing address
305 NW ENGLEWOOD COURT
SUITE 200
KANSAS CITY, MO 64118-4000
Phone: (816) 454-5433 Fax: (816) 454-8455
Organization Subpart
No
Authorized Official
JAMES WYLLIE
CHIEF OF OPERATIONS
Phone: (816) 454-5433
Updated
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.