BRIDGEWAY THERAPEUTICS INC NPI 1720680440

NPI Information

  • NPI: 1720680440
  • Provider Name: BRIDGEWAY THERAPEUTICS INC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2610 E 32ND ST STE 1
    MINNEAPOLIS, MN
    ZIP 55406
  • Phone: (612) 361-7727

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NPI Details

BRIDGEWAY THERAPEUTICS INC is an adult mental health clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BRIDGEWAY THERAPEUTICS INC NPI is 1720680440. The provider is registered as an organization entity type.

The provider's business location address is:

2610 E 32ND ST STE 1
MINNEAPOLIS, MN
ZIP 55406-905
Phone: (612) 361-7727
Fax: (612) 454-2693

The provider's authorized official is Fatma Abdille .
The authorized official title is Ceo and has the following contact phone number (612) 361-7727.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/25/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthYes
2324500000XSubstance Abuse Rehabilitation FacilityNo

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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