THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS INC. NPI 1083932263

NPI Information

NPI: 1083932263
Provider Name: THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
600 W WALNUT ST
SUITE 33-R
MILWAUKEE, WI
ZIP 53212
Phone: (414) 831-4500
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THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS, INC. is a mental health (including community mental health center) clinic center in Milwaukee, WI. THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS, INC. NPI is 1083932263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 W WALNUT ST
SUITE 33-R
MILWAUKEE, WI
ZIP 53212-863
Phone: (414) 831-4500
Fax: (414) 255-3451

The provider's authorized official is Todd C. Campbell .
The authorized official title is President / Ceo and has the following contact phone number (414) 831-4500.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 1/7/2015.

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	Primary
1	103T00000X	Psychologist		No
2	261Q00000X	Clinic/Center		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WI2157	MEDICARE PIN	WISCONSIN
2	100011207	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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