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BRIDGE FAMILY PRACTICE NPI 1164710638


NPI Information

NPI: 1164710638
Provider Name: BRIDGE FAMILY PRACTICE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5900 SHATTUCK AVE STE 101
OAKLAND, CA
ZIP 94609
Phone: (510) 595-1500
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BRIDGE FAMILY PRACTICE is a specialist in Oakland, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRIDGE FAMILY PRACTICE NPI is 1164710638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5900 SHATTUCK AVE STE 101
OAKLAND, CA
ZIP 94609-461
Phone: (510) 595-1500
Fax: (510) 595-1560

The provider's authorized official is Wendell Bryan Williams .
The authorized official title is Medical Doctor and has the following contact phone number (510) 595-1500.

The enumeration date for this NPI number is 7/18/2011 and was last updated on 7/18/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA72340CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H34302MEDICARE UPINCALIFORNIA
2DG850AMEDICARE PINCALIFORNIA

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: 11/14/2023

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.