BRIDGE TO HEALTH LLC NPI 1760618458

NPI Information

  • NPI: 1760618458
  • Provider Name: BRIDGE TO HEALTH, LLC
  • Classification: Registered Nurse - 163WP0000X
  • Specialization: Pain Management
  • Entity Type: Organization
  • Address: 2149 VELP AVE
    SUITE 205
    GREEN BAY, WI
    ZIP 54303
  • Phone: (920) 434-8500

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NPI Details

BRIDGE TO HEALTH, LLC is a pain management registered nurse in Green Bay, WI. BRIDGE TO HEALTH, LLC NPI is 1760618458. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2149 VELP AVE
SUITE 205
GREEN BAY, WI
ZIP 54303-424
Phone: (920) 434-8500
Fax: (920) 468-9791

The provider's authorized official is Bonnie Lee Groessl .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (920) 434-8500.

The enumeration date for this NPI number is 6/8/2009 and was last updated on 7/15/2009.

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
1163WP0000XRegistered NursePain Management79614WISCONSINYes

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
1000007835MEDICARE PINWISCONSIN
243845200MEDICAIDWISCONSIN
3S76780MEDICARE UPINWISCONSIN

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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