CAREBRIDGE PRIMARY CARE NPI 1457814337

NPI Information

NPI: 1457814337
Provider Name: CAREBRIDGE PRIMARY CARE

Doing Business As: CAREBRIDGE PRIMARY CARE

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7625 CAMARGO RD
CINCINNATI, OH
ZIP 45243
Phone: (513) 528-8150
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CAREBRIDGE PRIMARY CARE is a primary care nurse practitioner in Cincinnati, OH. CAREBRIDGE PRIMARY CARE NPI is 1457814337. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carebridge Primary Care.

The provider's business location address is:

7625 CAMARGO RD
CINCINNATI, OH
ZIP 45243-107
Phone: (513) 528-8150

The provider's authorized official is Angela Bowman .
The authorized official title is Credentialing Specialist and has the following contact phone number (513) 528-8779.

The enumeration date for this NPI number is 4/9/2019 and was last updated on 6/11/2019.

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
1	363LP2300X	Nurse Practitioner	Primary Care			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	3031614	MEDICAID	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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