BRIDGE CENTERS LLC NPI 1063255024

NPI Information

  • NPI: 1063255024
  • Provider Name: BRIDGE CENTERS LLC
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 4310 N WOODGATE LN
    EAGAN, MN
    ZIP 55122
  • Phone: (952) 492-1031

Map and Directions

Get Directions

NPI Details

BRIDGE CENTERS LLC is a developmental - behavioral pediatrics pediatrics in Eagan, MN. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. BRIDGE CENTERS LLC NPI is 1063255024. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4310 N WOODGATE LN
EAGAN, MN
ZIP 55122-277
Phone: (952) 492-1031

The provider's authorized official is Abdifatah Abdullahi Mohamed .
The authorized official title is Director and has the following contact phone number (952) 492-1031.

The enumeration date for this NPI number is 6/17/2024 and was last updated on 6/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI