BRIDGEWAY INC NPI 1518185925

NPI Information

  • NPI: 1518185925
  • Provider Name: BRIDGEWAY INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 900 S DEER RD
    MACOMB, IL
    ZIP 61455
  • Phone: (309) 837-4876

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NPI Details

BRIDGEWAY INC is a mental health (including community mental health center) clinic center in Macomb, IL. BRIDGEWAY INC NPI is 1518185925. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 S DEER RD
MACOMB, IL
ZIP 61455-639
Phone: (309) 837-4876

The provider's authorized official is Bill Nelson .
The authorized official title is Ceo and has the following contact phone number (309) 344-4337.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 7/21/2022.

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
12084P0800XPsychiatry & NeurologyPsychiatryILLINOISNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryILLINOISNo
3251B00000XCase ManagementILLINOISNo
4251C00000XDay Training, Developmentally Disabled Services011ILLINOISNo
5251C00000XDay Training, Developmentally Disabled ServicesIOWANo
6251S00000XCommunity/Behavioral HealthILLINOISNo
7261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)ILLINOISYes

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

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